Provider Demographics
NPI:1376794065
Name:WRIGHT, PATRICIA SUSAN (COTA/L)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:SUSAN
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:MISS
Other - First Name:PATRICIA
Other - Middle Name:SUSAN
Other - Last Name:ROSEMARY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:COTA/L
Mailing Address - Street 1:183 CRAWLEY CREEK RD
Mailing Address - Street 2:
Mailing Address - City:CARTHAGE
Mailing Address - State:NC
Mailing Address - Zip Code:28327-8745
Mailing Address - Country:US
Mailing Address - Phone:901-947-3544
Mailing Address - Fax:
Practice Address - Street 1:4788 HIGHWAY 705
Practice Address - Street 2:
Practice Address - City:ROBBINS
Practice Address - State:NC
Practice Address - Zip Code:27325
Practice Address - Country:US
Practice Address - Phone:910-585-1912
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-01
Last Update Date:2008-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3613174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist