Organization
MY TIME TO SHINE HIPPOTHERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA ANN SMITH OTR/L (OCCUPATIONAL THERAPIST)
(828) 448-1561
Entity
Organization
Contact information
Practice address
4071 OAK HOLLOW DR, MORGANTON, NC 28655-4782
(828) 448-1561
(828) 437-8348
Mailing address
4071 OAK HOLLOW DR, MORGANTON, NC 28655-4782
(828) 448-1561
(828) 437-8348
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
5638
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7302004
—
NC
Enumeration date
10/28/2008
Last updated
02/20/2015
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