| Odyssey Pediatric Therapy, Llc | |
|
2989 Broadmoor Valley Rd Suite D Colorado Springs CO 80906-4403 | |
| (719) 283-1406 | |
| (719) 249-5834 |
| Full Name | Odyssey Pediatric Therapy, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2989 Broadmoor Valley Rd, Colorado Springs, Colorado |
| Authorized Official Name and Position | Anthony Andriano (PRESIDENT) |
| Authorized Official Contact | 7194677018 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Odyssey Pediatric Therapy, Llc 13931 Sierra Star Ct Colorado Springs CO 80921-2976 Ph: (719) 283-1406 | Odyssey Pediatric Therapy, Llc 2989 Broadmoor Valley Rd Suite D Colorado Springs CO 80906-4403 Ph: (719) 283-1406 |
| NPI Number | 1497487888 |
|---|---|
| Provider Enumeration Date | 06/26/2022 |
| Last Update Date | 01/29/2024 |
| Certification Date | 01/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497487888 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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