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NPI Code Detail

MEDICARE: BACK ON TRACK CHILDRENS THERAPY SERVICES

MEDICARE: BACK ON TRACK CHILDRENS THERAPY SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist
2235Z00000XSpeech-Language Pathologist
3225X00000XOccupational Therapist

General Provider Information

NPI Number : 1114484300
Entity Type Code : Organization
Provider Name (Legal Business Name) : BACK ON TRACK CHILDRENS THERAPY SERVICES
Provider Business Mailing Address
First Line : 8 SOMERSTON RD
Second Line :
City : YORKTOWN HEIGHTS
State : NY
Zip : 10598-2216
Country : US
Telephone Number : 267-408-6753
Fax Number :
Provider Business Practice Location Address
First Line : 8 SOMERSTON RD
Second Line :
City : YORKTOWN HEIGHTS
State : NY
Zip : 10598-2216
Country : US
Telephone Number : 267-408-6753
Fax Number :
Authorized Official
Title or Position : OWNER/OCCUPATIONAL THERAPIST
Name : MRS. KERRI LYNN VALENTINE
Credential : MS, OTR/L
Telephone Number : 267-408-6753
Provider Enumeration Date : 02/25/2019
Last Update Date : 08/30/2023

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Directions to “BACK ON TRACK CHILDRENS THERAPY SERVICES ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.