Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | 2305210754 | VA |
N | 225100000X | Physical Therapist | 26265 | MD |
Y | 225100000X | Physical Therapist | PT871950 | DC |
N | 2251P0200X | Physical Therapist - Pediatrics | 9054 | SC |
NPI | 1053853101 |
---|---|
Provider Name | Chelsea Wright |
First Address | Lanham, MD 20706-1843 |
Second Address | Ladson, SC 29456-4118 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/11/2016 |
Last Update Date | 08/05/2018 |