Organization
RIDE-ON RANCH EQUINE ASSISTED THERAPIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUTUMN O'HARA OT (EXECUTIVE DIRECTOR)
(703) 298-5319
Entity
Organization
Contact information
Practice address
38416 MORRISONVILLE RD, LOVETTSVILLE, VA 20180-3102
(703) 298-5319
Mailing address
38416 MORRISONVILLE RD, LOVETTSVILLE, VA 20180-3102
(703) 298-5319
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
0119005637
VA
Other
Enumeration date
04/30/2017
Last updated
04/30/2017
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