Provider Demographics
NPI:1396958179
Name:WRIGHT, DAVID JOHN (MSPT)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:JOHN
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 OLD TOWNE RD
Mailing Address - Street 2:512
Mailing Address - City:AYER
Mailing Address - State:MA
Mailing Address - Zip Code:01432-1784
Mailing Address - Country:US
Mailing Address - Phone:978-392-1144
Mailing Address - Fax:
Practice Address - Street 1:3 PARK DR
Practice Address - Street 2:
Practice Address - City:WESTFORD
Practice Address - State:MA
Practice Address - Zip Code:01886-3511
Practice Address - Country:US
Practice Address - Phone:978-392-1144
Practice Address - Fax:978-392-0032
Is Sole Proprietor?:No
Enumeration Date:2007-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10848225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist