Provider Demographics
NPI:1972530996
Name:WRIGHT, PATRICIA A (MOT, OTR, CHT)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:A
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:MOT, OTR, CHT
Other - Prefix:MS
Other - First Name:PATRICIA
Other - Middle Name:A
Other - Last Name:WRIGHT-MILLER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MOT,OTR,CHT
Mailing Address - Street 1:5251 DUKE ST
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22304-2922
Mailing Address - Country:US
Mailing Address - Phone:703-370-0097
Mailing Address - Fax:703-823-0843
Practice Address - Street 1:5251 DUKE ST
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22304-2922
Practice Address - Country:US
Practice Address - Phone:703-370-0097
Practice Address - Fax:703-823-0843
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-26
Last Update Date:2008-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119000476225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCG02326H01Medicare PIN
VA00X480H01Medicare PIN