Bukola Wright
Individual provider Active NPI Occupational Therapy Assistant · Palm Coast, FL
NPI 1194095877 · NPPES record last updated Jan 11, 2012
Key facts
- NPI
- 1194095877
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- OTA11395 (FL)
- Practice address
- 17 Pine Ash LN
Palm Coast, FL 32164-7059 - Phone
- (386) 283-0565
- NPI assigned
- Jan 11, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTA11395 | FL | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OTA11395 | FL | Yes |
Addresses
Primary practice location
17 Pine Ash LN
Palm Coast, FL 32164-7059
Mailing address
17 Pine Ash LN
Palm Coast, FL 32164-7059
Other providers in Palm Coast, FL
- Wound Care by Nurse Practitioners LLC
- Isabel Rose Woyton
- Robert J Wrable
- Mary E Wray
- Bei Chen Wright
- Felicia Wright
- Jarvis Wright Sr.
- Joshua Wright
- Brahmananda Rao Yadlapalli
- Chaitanya H Yajnik
All providers in Palm Coast, FL · Occupational Therapy Assistant in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 11, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.