MEDICARE: JANE E WRIGHT P.T.

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
1	2251G0304X	Geriatric Physical Therapist	3975-024	WI

General Provider Information

NPI Number	:	1790919819
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANE E WRIGHT P.T.

Provider Business Mailing Address
First Line	:	555 COUNTY ROAD HQ
Second Line	:
City	:	MARQUETTE
State	:	MI
Zip	:	49855-8855
Country	:	US
Telephone Number	:	906-225-5044
Fax Number	:	906-225-5049

Provider Business Practice Location Address
First Line	:	555 COUNTY ROAD HQ
Second Line	:
City	:	MARQUETTE
State	:	MI
Zip	:	49855-8855
Country	:	US
Telephone Number	:	906-225-5044
Fax Number	:	906-225-5049

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/04/2009
Last Update Date	:	09/06/2018

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Directions to “ JANE E WRIGHT P.T.” Practice Location

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