Provider Demographics
NPI:1891924262
Name:WRIGHT, PATRICIA BEATRIZ (PTA)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:BEATRIZ
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2501 E 4TH ST APT 6
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90814-3508
Mailing Address - Country:US
Mailing Address - Phone:562-438-0376
Mailing Address - Fax:
Practice Address - Street 1:295 E 3RD ST
Practice Address - Street 2:A100
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90802-3141
Practice Address - Country:US
Practice Address - Phone:562-435-7699
Practice Address - Fax:562-435-7641
Is Sole Proprietor?:No
Enumeration Date:2009-07-07
Last Update Date:2009-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA8887225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant