Organization
HEIDI E. WIGHT
Active
Other names
Optimistic Outlook Therapy Services
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES ARTHUR WIGHT (OFFICE MANAGER)
(252) 331-1375
Entity
Organization
Contact information
Practice address
1805 W CITY DR, SUITE G, ELIZABETH CITY, NC 27909-9646
(252) 331-1375
(252) 331-1376
Mailing address
1805 W CITY DR, SUITE G, ELIZABETH CITY, NC 27909-9646
(252) 331-1375
(252) 331-1376
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
6978
NC
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7302265
—
NC
Enumeration date
11/22/2010
Last updated
11/22/2010
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