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NPI Code Detail

MEDICARE: LAURA WRIGHT

MEDICARE:   LAURA  WRIGHT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist5201002941MI

General Provider Information

NPI Number : 1215301577
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA WRIGHT
Provider Business Mailing Address
First Line : 902 INDUSTRIAL DR
Second Line :
City : TECUMSEH
State : MI
Zip : 49286-9701
Country : US
Telephone Number : 517-423-7722
Fax Number : 517-423-1270
Provider Business Practice Location Address
First Line : 902 INDUSTRIAL DR
Second Line :
City : TECUMSEH
State : MI
Zip : 49286-9701
Country : US
Telephone Number : 517-423-7722
Fax Number : 517-423-1270
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/23/2015
Last Update Date : 11/23/2015

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Directions to “ LAURA WRIGHT ” Practice Location

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