Provider Demographics
NPI:1770173015
Name:WRIGHT, NEEKI NECOLE
Entity type:Individual
Prefix:
First Name:NEEKI
Middle Name:NECOLE
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3182 CLUB ARROW CT
Mailing Address - Street 2:
Mailing Address - City:SNELLVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30039-3613
Mailing Address - Country:US
Mailing Address - Phone:561-267-6308
Mailing Address - Fax:
Practice Address - Street 1:3182 CLUB ARROW CT
Practice Address - Street 2:
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30039-3613
Practice Address - Country:US
Practice Address - Phone:561-267-6308
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-20
Last Update Date:2021-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant