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NPI Code Detail

MEDICARE: MATTHEW CARL WRIGHT COTA/L

MEDICARE:   MATTHEW CARL WRIGHT  COTA/L
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
1224Z00000XOccupational Therapy AssistantOTA-7338FL

General Provider Information

NPI Number : 1891941233
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW CARL WRIGHT COTA/L
Provider Business Mailing Address
First Line : 1427 BLUFF LOOP
Second Line :
City : DUNDEE
State : FL
Zip : 33838-4401
Country : US
Telephone Number : 863-471-9989
Fax Number : 863-471-9989
Provider Business Practice Location Address
First Line : 6052 PEBBLE BEACH BLVD
Second Line :
City : WINTER HAVEN
State : FL
Zip : 33884-3601
Country : US
Telephone Number : 863-412-1611
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2008
Last Update Date : 03/17/2018

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Directions to “ MATTHEW CARL WRIGHT COTA/L” Practice Location

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