Individual
MRS. RACHAEL CARROLL WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
101 BRIGHTWATER DR, MYRTLE BEACH, SC 29579-8275
(843) 903-8300
Mailing address
110 BREAKERS DR UNIT 522, MYRTLE BEACH, SC 29579-4419
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
1674
CT
224Z00000X
Occupational Therapy Assistant
Primary
5000
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5000
COTA SC LICENSES
SC
Enumeration date
12/26/2017
Last updated
04/27/2023
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