Provider Demographics
NPI:1801270582
Name:WRIGHT, AILEEN (OTR)
Entity type:Individual
Prefix:
First Name:AILEEN
Middle Name:
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2428 FAIRMONT AVE
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-6296
Mailing Address - Country:US
Mailing Address - Phone:956-687-4673
Mailing Address - Fax:
Practice Address - Street 1:4301 NTH 10TH STREET
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504
Practice Address - Country:US
Practice Address - Phone:956-687-4673
Practice Address - Fax:956-687-4691
Is Sole Proprietor?:No
Enumeration Date:2015-07-13
Last Update Date:2022-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
116867225X00000X
TX116867225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist