Healthcare Provider Details

I. General information

NPI: 1598559858
Provider Name (Legal Business Name): SPECIAL EQUESTRIANS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2025
Last Update Date: 04/09/2025
Certification Date: 04/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2800 STREET RD
WARRINGTON PA
18976-1637
US

IV. Provider business mailing address

PO BOX 1001
WARRINGTON PA
18976-1046
US

V. Phone/Fax

Practice location:
  • Phone: 215-918-1001
  • Fax:
Mailing address:
  • Phone: 215-918-1001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JANICE WITT
Title or Position: EXECUTIVE DIRECTOR
Credential: OTR/L
Phone: 610-742-6584