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Organization

AUTUMN DANCER RIDING ACADEMY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANN CHERNOCH DPT (OWNER)
(978) 874-1015
Entity
Organization

Contact information

Practice address
65 HARRINGTON RD, WESTMINSTER, MA 01473-1522
(978) 874-1015
Mailing address
65 HARRINGTON RD, WESTMINSTER, MA 01473-1522
(978) 874-1015

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
8999
MA

Other

Enumeration date
08/31/2010
Last updated
08/31/2010
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