Healthcare Provider Details

I. General information

NPI: 1124050778
Provider Name (Legal Business Name): DAVID GARMAN WRIGHT OTR/L
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/06/2006
Last Update Date: 08/21/2025
Certification Date: 08/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4160 MAX CIRCLE NULL
ALMA AR
72921-8552
US

IV. Provider business mailing address

4160 MAX CIR
ALMA AR
72921-8552
US

V. Phone/Fax

Practice location:
  • Phone: 479-430-3334
  • Fax: 888-830-6543
Mailing address:
  • Phone: 479-430-3334
  • Fax: 888-830-6543

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOTR1457
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: