Doctor Name: | KATHLEEN WRIGHT |
NPI Number: | 1003244468 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 2305000770 |
Business Practice Address: | 3811 Fauquier Ave Richmond, VA - 232274035 |
Business Phone Number: | 8042615978 |
Business Fax Number: | |
Mailing Address: | 3811 Fauquier Ave, RICHMOND |
State: | VA |
Postal Code: | 232274035 |
Phone Number: | 8042615978 |
Fax Number: | |
NPI Enumeration Date: | 10/23/2013 |
NPI Last Update Date: | 10/23/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251P0200X |
License Number: | 2305000770 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |