# RANCHOTHERAPY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437642311
- **Authorized official:** BRENDA JOYCE JOHNSON OT (OWNER)
- **Authorized official phone:** (479) 651-4098

## Contact information

- **Practice address:** 2221 E POINTER TRL, VAN BUREN, AR 72956-2336
- **Practice address phone:** (479) 651-4098
- **Practice address fax:** (479) 208-4048
- **Mailing address:** PO BOX 7496, VAN BUREN, AR 72956-0382
- **Mailing address phone:** (479) 651-4098
- **Mailing address fax:** (479) 208-4048

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | 390 | AR | Yes |

## Other

- **Enumeration date:** 06/14/2018
- **Last updated:** 06/14/2018