Healthcare Provider Details

I. General information

NPI: 1326222852
Provider Name (Legal Business Name): PAULINE L WRIGHT OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/19/2007
Last Update Date: 09/20/2023
Certification Date: 09/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7993 MEADOWLAKE RD
NIWOT CO
80503-8681
US

IV. Provider business mailing address

PO BOX 17
NIWOT CO
80544-0017
US

V. Phone/Fax

Practice location:
  • Phone: 720-598-2552
  • Fax:
Mailing address:
  • Phone: 720-598-2552
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number7518
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: