Individual
JENNA RILEY WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
217 EAST AVE, MINOA, NY 13116-1205
(315) 656-7277
Mailing address
217 EAST AVE, MINOA, NY 13116-1205
(315) 656-7277
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
010382-01
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010382-01
NYS COTA LICENSE
NY
Enumeration date
05/04/2021
Last updated
05/04/2021
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