Organization
WRIGHTS PROSTHETIC LABORATORY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM PATRICK WRIGHT CP (PRESIDENT)
(386) 736-7314
Entity
Organization
Contact information
Practice address
858 W PLYMOTH AVE, DELAND, FL 32720
(386) 736-7314
(386) 736-7315
Mailing address
858 W PLYMOTH AVE, DELAND, FL 32720
(386) 736-7314
(386) 736-7315
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
PRO65
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P948
AMERICAN BOARD FOR CERTIF
—
01
—
PR065
STATE LICENSES
—
Enumeration date
02/13/2006
Last updated
08/22/2020
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