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Organization
EQUESTRIAN CONNECTION
Active
Organization
EQUESTRIAN CONNECTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA SCHNELL (MANAGER)
(847) 615-8696
Entity
Organization
Contact information
Practice address
800 N BRADLEY ROAD, LAKE FOREST, IL 60045
(847) 615-8696
Mailing address
872 S MILWAUKEE AVE, #273, LIBERTYVILLE, IL 60048-3227
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
09/16/2009
Last updated
09/16/2009
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