Provider Demographics
NPI:1518727148
Name:WRIGHT, ABIGAIL C (CTRS)
Entity Type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:C
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:CTRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2621 STUART AVE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23220-3372
Mailing Address - Country:US
Mailing Address - Phone:804-525-0029
Mailing Address - Fax:
Practice Address - Street 1:2621 STUART AVE
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23220-3372
Practice Address - Country:US
Practice Address - Phone:804-525-0029
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-20
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA85447225800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRecreation Therapist