Provider Demographics
NPI:1598802308
Name:WRIGHT, JOHANNA BARRETT (OTRL)
Entity Type:Individual
Prefix:MRS
First Name:JOHANNA
Middle Name:BARRETT
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:OTRL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:117 N AURORA DR
Mailing Address - Street 2:
Mailing Address - City:APOPKA
Mailing Address - State:FL
Mailing Address - Zip Code:32703-1303
Mailing Address - Country:US
Mailing Address - Phone:407-880-8565
Mailing Address - Fax:
Practice Address - Street 1:140 TONINA CV
Practice Address - Street 2:
Practice Address - City:MAITLAND
Practice Address - State:FL
Practice Address - Zip Code:32751-3442
Practice Address - Country:US
Practice Address - Phone:407-388-0246
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT10651225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist