Provider Demographics
NPI:1861863011
Name:WRIGHT, CHRISTINA (COTA/L)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11033 E ABILENE AVE
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85208-8645
Mailing Address - Country:US
Mailing Address - Phone:480-228-2326
Mailing Address - Fax:
Practice Address - Street 1:11033 E ABILENE AVE
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85208-8645
Practice Address - Country:US
Practice Address - Phone:480-228-2326
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-14
Last Update Date:2015-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ6344174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist