Provider Demographics
NPI:1760168322
Name:ON YOUR MARK SPEECH THERAPY
Entity Type:Organization
Organization Name:ON YOUR MARK SPEECH THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:
Authorized Official - Last Name:FARINACCI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-610-7599
Mailing Address - Street 1:4418 SPENCER ST
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90503-2434
Mailing Address - Country:US
Mailing Address - Phone:585-610-7599
Mailing Address - Fax:
Practice Address - Street 1:4418 SPENCER ST
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90503-2434
Practice Address - Country:US
Practice Address - Phone:585-610-7599
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-27
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech