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Individual

MICHAEL WRIGHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3043 NE 28TH ST, LINCOLN CITY, OR 97367-4518
(541) 994-3661
Mailing address
3043 NE 28TH ST, LINCOLN CITY, OR 97367-4518
(541) 994-3661

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3759
OR

Other

Enumeration date
12/13/2011
Last updated
12/13/2011
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