Shady Grove Farm and Wellness Center
NPI #1326388331 in Peru, New York
Provider Information
- NPI Number
- 1326388331
- Entity Type
- Organization
- Organization Name
- Shady Grove Farm and Wellness Center
- Primary Specialty
- Early Intervention Provider Agency
- Enumeration Date
- Feb 28, 2013
- Last Updated
- Feb 28, 2013
Practice Location
Authorized Official
- Name
- KAREN M BOUCHARD-BRAUN, PT
- Title
- PRESIDENT
- Phone
- (518) 569-3440
Specialties & Taxonomy Codes
| Specialty |
|---|
| Early Intervention Provider Agency |
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