Provider Demographics
NPI:1821311242
Name:WRIGHT, ABIGAIL (MOT,OTR/L)
Entity Type:Individual
Prefix:MS
First Name:ABIGAIL
Middle Name:
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:MOT,OTR/L
Other - Prefix:
Other - First Name:ABIGAIL
Other - Middle Name:
Other - Last Name:HAFFNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:29D STONEHILL ROAD
Mailing Address - Street 2:
Mailing Address - City:OSWEGO
Mailing Address - State:IL
Mailing Address - Zip Code:60543
Mailing Address - Country:US
Mailing Address - Phone:630-554-6156
Mailing Address - Fax:630-554-6378
Practice Address - Street 1:29D STONEHILL ROAD
Practice Address - Street 2:
Practice Address - City:OSWEGO
Practice Address - State:IL
Practice Address - Zip Code:60543
Practice Address - Country:US
Practice Address - Phone:630-554-6156
Practice Address - Fax:630-554-6378
Is Sole Proprietor?:No
Enumeration Date:2010-03-12
Last Update Date:2013-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056008609225X00000X
IL056.008609225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist