Healthcare Provider Details

I. General information

NPI: 1356773956
Provider Name (Legal Business Name): KANYA WRIGHT OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2013
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 N CHURCH ST
MONROE NC
28112-4804
US

IV. Provider business mailing address

4531 PANTHER PL
CHARLOTTE NC
28269-3189
US

V. Phone/Fax

Practice location:
  • Phone: 704-296-9898
  • Fax:
Mailing address:
  • Phone: 561-601-0958
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT 15544
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: