Provider Demographics
NPI:1427399088
Name:WRIGHT, HOLLI MICHELLE (MS, PT)
Entity Type:Individual
Prefix:
First Name:HOLLI
Middle Name:MICHELLE
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:MS, PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 ELMARA DR
Mailing Address - Street 2:
Mailing Address - City:BRIDGEWATER
Mailing Address - State:NJ
Mailing Address - Zip Code:08807-5668
Mailing Address - Country:US
Mailing Address - Phone:908-722-1805
Mailing Address - Fax:
Practice Address - Street 1:5 ELMARA DR
Practice Address - Street 2:
Practice Address - City:BRIDGEWATER
Practice Address - State:NJ
Practice Address - Zip Code:08807-5668
Practice Address - Country:US
Practice Address - Phone:908-722-1805
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-07
Last Update Date:2013-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA005883002251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics