Provider Demographics
NPI:1831443589
Name:WRIGHT, LAUREN B (MS, OTR/L)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:B
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:B
Other - Last Name:LOVINGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, OTR/L
Mailing Address - Street 1:428 OLDERSHAW AVE
Mailing Address - Street 2:
Mailing Address - City:MOORESTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08057-3108
Mailing Address - Country:US
Mailing Address - Phone:856-437-6745
Mailing Address - Fax:
Practice Address - Street 1:428 OLDERSHAW AVE
Practice Address - Street 2:
Practice Address - City:MOORESTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08057-3108
Practice Address - Country:US
Practice Address - Phone:856-437-6745
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-02
Last Update Date:2019-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR00715100225XP0200X
PAOC012672225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics