Individual
MRS. BETHANY CAROLE WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
4810 BARBICAN AVE, WESTON, WI 54476-4189
(715) 393-0417
Mailing address
310 WASHINGTON ST, WAUSAU, WI 54403-5545
(920) 216-1316
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5079
WI
Other
Enumeration date
02/13/2015
Last updated
02/13/2015
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