Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | 2305000770 | VA |
NPI | 1003244468 |
---|---|
Provider Name | Kathleen Wright |
First Address | Richmond, VA 23227-4035 |
Second Address | Richmond, VA 23227-4035 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/10/2013 |
Last Update Date | 23/10/2013 |