Provider Demographics
NPI:1033287081
Name:WRIGHT, JILL BAEUMEL (OTR)
Entity Type:Individual
Prefix:MRS
First Name:JILL
Middle Name:BAEUMEL
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4154 LOMAC ST
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36106-2815
Mailing Address - Country:US
Mailing Address - Phone:334-262-5744
Mailing Address - Fax:334-262-5155
Practice Address - Street 1:4154 LOMAC ST
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36106-2815
Practice Address - Country:US
Practice Address - Phone:334-262-5744
Practice Address - Fax:334-262-5155
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2553225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist