| NPI | 1740777028 |
|---|---|
| Former Legal Business Name | ONTRACK THERAPY SERVICES |
| Entity Type | Organization |
| Authorized Contact | ERICA DAVIED Otr/L 408-506-7584 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CA OT809) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: CA OT809) |
| Enumeration Date | 2018-04-22 |
| Last Update Date | 2018-04-22 |