# RIDGEBURY FARM AND STABLES

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

## Provider details

- **NPI number:** 1851000749
- **Authorized official:** KIMBERLY RIFFLARD (OFFICE MANAGER)
- **Authorized official phone:** (203) 856-0904

## Contact information

- **Practice address:** 484 RIDGEBURY RD, RIDGEFIELD, CT 06877-1228
- **Practice address phone:** (203) 801-5254
- **Mailing address:** 484 RIDGEBURY RD, RIDGEFIELD, CT 06877-1228
- **Mailing address phone:** (203) 856-0904

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 2084B0040X | Behavioral Neurology & Neuropsychiatry Physician | — | NULL | — |
| 2084B0040X | Behavioral Neurology & Neuropsychiatry Physician | — | — | — |
| 2084P0005X | Neurodevelopmental Disabilities Physician | — | NULL | — |
| 2084P0005X | Neurodevelopmental Disabilities Physician | — | — | — |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 2251P0200X | Pediatric Physical Therapist | — | NULL | — |
| 2251P0200X | Pediatric Physical Therapist | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 225XP0019X | Physical Rehabilitation Occupational Therapist | — | NULL | — |
| 225XP0019X | Physical Rehabilitation Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |

## Other

- **Enumeration date:** 11/18/2022
- **Last updated:** 11/18/2022