Provider Demographics
NPI:1124363189
Name:WRIGHT, DEBORAH ANN (COTA/L)
Entity Type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:ANN
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:MRS
Other - First Name:DEBORAH
Other - Middle Name:ANN
Other - Last Name:WARWICK/WRIGHT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:COTA/L
Mailing Address - Street 1:240 SE DEXTER ST
Mailing Address - Street 2:
Mailing Address - City:PULLMAN
Mailing Address - State:WA
Mailing Address - Zip Code:99163-2264
Mailing Address - Country:US
Mailing Address - Phone:509-332-3581
Mailing Address - Fax:509-336-7202
Practice Address - Street 1:240 SE DEXTER ST
Practice Address - Street 2:
Practice Address - City:PULLMAN
Practice Address - State:WA
Practice Address - Zip Code:99163-2331
Practice Address - Country:US
Practice Address - Phone:509-332-3581
Practice Address - Fax:509-336-7202
Is Sole Proprietor?:No
Enumeration Date:2012-12-03
Last Update Date:2012-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOC00000645224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant