Horse-Play Outdoor Center, INC

NPI #1982161402 in Prairie Grove, Arkansas

Provider Information

NPI Number: 1982161402
Entity Type: Organization
Organization Name: Horse-Play Outdoor Center, INC
Primary Specialty: Pediatrics
Enumeration Date: Feb 21, 2019
Last Updated: Feb 21, 2019

Practice Location

Address: 902 GRANT AVE
City: Prairie Grove
State: Arkansas
ZIP Code: 72753-8417
Phone: (479) 283-7899

Authorized Official

Name: SARA RUCKENBROD, DPT
Title: EXECUTIVE DIRECTOR
Phone: (479) 283-7899

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X
Clinic/Center - Hearing and Speech — Hearing and Speech	261QH0700X
Clinic/Center - Occupational Medicine — Occupational Medicine	261QX0100X
Pediatrics	208000000X	Primary

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