NPI | 1285469957 |
---|---|
Doing Business As | ON TRACK PEDIATRIC THERAPY |
Entity Type | Organization |
Authorized Contact | BRANDON VALLEY Systems Director 636-252-4464 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
332B00000X Durable Medical Equipment & Medical Supplies | |
Enumeration Date | 2024-09-03 |
Last Update Date | 2024-09-03 |