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Organization
RIDGEBURY FARM AND STABLES
Active
Organization
RIDGEBURY FARM AND STABLES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY RIFFLARD (OFFICE MANAGER)
(203) 856-0904
Entity
Organization
Contact information
Practice address
484 RIDGEBURY RD, RIDGEFIELD, CT 06877-1228
(203) 801-5254
Mailing address
484 RIDGEBURY RD, RIDGEFIELD, CT 06877-1228
(203) 856-0904
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
—
—
2084P0005X
Neurodevelopmental Disabilities Physician
—
—
225100000X
Physical Therapist
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
225XP0019X
Physical Rehabilitation Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
11/18/2022
Last updated
11/18/2022
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