Provider Demographics
NPI:1720496821
Name:NORTH CAROLINA THERAPEUTIC RIDING CENTER
Entity Type:Organization
Organization Name:NORTH CAROLINA THERAPEUTIC RIDING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LARA
Authorized Official - Middle Name:
Authorized Official - Last Name:KATZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-304-1009
Mailing Address - Street 1:4705 NICKS RD
Mailing Address - Street 2:
Mailing Address - City:MEBANE
Mailing Address - State:NC
Mailing Address - Zip Code:27302-8200
Mailing Address - Country:US
Mailing Address - Phone:919-304-1009
Mailing Address - Fax:919-869-1401
Practice Address - Street 1:4705 NICKS RD
Practice Address - Street 2:
Practice Address - City:MEBANE
Practice Address - State:NC
Practice Address - Zip Code:27302-8200
Practice Address - Country:US
Practice Address - Phone:919-304-1009
Practice Address - Fax:919-869-1401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-01
Last Update Date:2014-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy