Provider Demographics
NPI:1548599848
Name:WRIGHT REHABILITATION INC
Entity Type:Organization
Organization Name:WRIGHT REHABILITATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:CRYSTAL
Authorized Official - Middle Name:C
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:OTL
Authorized Official - Phone:989-345-7151
Mailing Address - Street 1:PO BOX 31
Mailing Address - Street 2:
Mailing Address - City:WEST BRANCH
Mailing Address - State:MI
Mailing Address - Zip Code:48661-0031
Mailing Address - Country:US
Mailing Address - Phone:989-345-7151
Mailing Address - Fax:989-345-7153
Practice Address - Street 1:214 W HOUGHTON AVE
Practice Address - Street 2:SUITE 4
Practice Address - City:WEST BRANCH
Practice Address - State:MI
Practice Address - Zip Code:48661-1220
Practice Address - Country:US
Practice Address - Phone:989-345-7151
Practice Address - Fax:989-345-7153
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-15
Last Update Date:2010-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5201003926174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty