Provider Demographics
NPI:1326222852
Name:WRIGHT, PAULINE L (OTR/L)
Entity Type:Individual
Prefix:
First Name:PAULINE
Middle Name:L
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 17
Mailing Address - Street 2:
Mailing Address - City:NIWOT
Mailing Address - State:CO
Mailing Address - Zip Code:80544-0017
Mailing Address - Country:US
Mailing Address - Phone:720-598-2552
Mailing Address - Fax:
Practice Address - Street 1:7993 MEADOWLAKE RD
Practice Address - Street 2:
Practice Address - City:NIWOT
Practice Address - State:CO
Practice Address - Zip Code:80503-8681
Practice Address - Country:US
Practice Address - Phone:720-598-2552
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-19
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA7518174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist