| Wild Ohio Therapy Farm | |
|
415 Lake Vista Dr Zanesville OH 43701-7552 | |
| (740) 319-1666 | |
| Not Available |
| Full Name | Wild Ohio Therapy Farm |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 415 Lake Vista Dr, Zanesville, Ohio |
| Authorized Official Name and Position | Stephen Kelty (OFFICE MANAGER) |
| Authorized Official Contact | 6143701033 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wild Ohio Therapy Farm 415 Lake Vista Dr Zanesville OH 43701-7552 Ph: (740) 319-1666 | Wild Ohio Therapy Farm 415 Lake Vista Dr Zanesville OH 43701-7552 Ph: (740) 319-1666 |
| NPI Number | 1104404920 |
|---|---|
| Provider Enumeration Date | 04/01/2021 |
| Last Update Date | 12/01/2021 |
| Certification Date | 12/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104404920 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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