Provider Demographics
NPI:1700191491
Name:THERAPEUTIC RIDING OF TUCSON
Entity Type:Organization
Organization Name:THERAPEUTIC RIDING OF TUCSON
Other - Org Name:TROT THERAPY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF THERAPY SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:H
Authorized Official - Last Name:MCGIBBON
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:520-749-2360
Mailing Address - Street 1:8920 E WOODLAND RD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85749-9575
Mailing Address - Country:US
Mailing Address - Phone:520-749-2360
Mailing Address - Fax:
Practice Address - Street 1:8920 E WOODLAND RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85749-9575
Practice Address - Country:US
Practice Address - Phone:520-749-2360
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-18
Last Update Date:2011-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4416225X00000X
261QD1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty