Provider Demographics
NPI:1558613380
Name:THE TRAINING TRAIN, INC
Entity Type:Organization
Organization Name:THE TRAINING TRAIN, INC
Other - Org Name:CHILDREN'S THERA-TRAIN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:FADIA
Authorized Official - Middle Name:
Authorized Official - Last Name:KHADER-RASHID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-385-3895
Mailing Address - Street 1:200 E 10TH AVE
Mailing Address - Street 2:#9
Mailing Address - City:MOUNT DORA
Mailing Address - State:FL
Mailing Address - Zip Code:32757-4289
Mailing Address - Country:US
Mailing Address - Phone:352-385-3895
Mailing Address - Fax:
Practice Address - Street 1:141 N HIGHLAND ST STE 2
Practice Address - Street 2:
Practice Address - City:MOUNT DORA
Practice Address - State:FL
Practice Address - Zip Code:32757-5776
Practice Address - Country:US
Practice Address - Phone:352-385-3895
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-03
Last Update Date:2012-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Multi-Specialty
No2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatricsGroup - Multi-Specialty
No2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language AssistantGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty