Provider Demographics
NPI:1821311242
Name:WRIGHT, ABIGAIL (MOT,OTR/L)
Entity type:Individual
Prefix:MS
First Name:ABIGAIL
Middle Name:
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:MOT,OTR/L
Other - Prefix:
Other - First Name:ABIGAIL
Other - Middle Name:
Other - Last Name:HAFFNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:312 S BREVARD AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33606-2214
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:312 S BREVARD AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33606-2214
Practice Address - Country:US
Practice Address - Phone:765-426-6878
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-12
Last Update Date:2024-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056.008609225X00000X
FLOT22515225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist