Organization
ODYSSEY PEDIATRIC THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY ANDRIANO (PRESIDENT)
(719) 467-7018
Entity
Organization
Contact information
Practice address
13931 SIERRA STAR CT, COLORADO SPRINGS, CO 80921-2976
(719) 283-1406
(719) 249-5834
Mailing address
13931 SIERRA STAR CT, COLORADO SPRINGS, CO 80921-2976
(719) 283-1406
(719) 249-5834
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
08/25/2020
Last updated
06/04/2025
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