Individual
MRS. BUKOLA WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17 PINE ASH LN, PALM COAST, FL 32164-7059
(386) 283-0565
Mailing address
17 PINE ASH LN, PALM COAST, FL 32164-7059
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA11395
FL
Other
Enumeration date
01/11/2012
Last updated
01/11/2012
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