Organization
RANCHOTHERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA JOYCE JOHNSON OT (OWNER)
(479) 651-4098
Entity
Organization
Contact information
Practice address
2221 E POINTER TRL, VAN BUREN, AR 72956-2336
(479) 651-4098
(479) 208-4048
Mailing address
PO BOX 7496, VAN BUREN, AR 72956-0382
(479) 651-4098
(479) 208-4048
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
390
AR
Other
Enumeration date
06/14/2018
Last updated
06/14/2018
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