Provider Demographics
NPI:1942240502
Name:WRIGHT, JOANNE (PHD OTR L CLVT)
Entity Type:Individual
Prefix:
First Name:JOANNE
Middle Name:
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:PHD OTR L CLVT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:568 WATER LILY DR
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84106-1200
Mailing Address - Country:US
Mailing Address - Phone:801-631-4848
Mailing Address - Fax:
Practice Address - Street 1:568 WATER LILY DR
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84106-1200
Practice Address - Country:US
Practice Address - Phone:801-631-4848
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2008-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT105322-4201174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist