Organization
MIDWEST THERAPEUTIC EQUESTRIAN HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE KUBARTH OTR/L (DIRECTOR)
(262) 878-2000
Entity
Organization
Contact information
Practice address
1117 N BRITTON RD, UNION GROVE, WI 53182-9305
(262) 878-2000
(262) 878-2000
Mailing address
PO BOX 085184, RACINE, WI 53408-5184
(262) 878-2000
(262) 878-2000
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41219700
—
WI
Enumeration date
05/01/2008
Last updated
05/01/2008
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