W Equine Escape Ltd

NPI #1922396225 in Du Quoin, Illinois

Provider Information

NPI Number
1922396225
Entity Type
Organization
Organization Name
W Equine Escape Ltd
Primary Specialty
Clinic/Center - Rehabilitation
Enumeration Date
Jul 20, 2011
Last Updated
Jul 20, 2011

Practice Location

Address
7230 STATE ROUTE 152
ZIP Code
62832-4330
Phone
(618) 559-1960

Authorized Official

Name
MS. PATRICIA A. WILSON, MS
Title
OWNER/PRESIDENT
Phone
(618) 559-1960

Specialties & Taxonomy Codes

Specialty
Clinic/Center - RehabilitationRehabilitation

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