Basic Information
Provider Information
NPI: 1689804825
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: WRIGHT
FirstName: JOY
MiddleName:  
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Credential:  
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Mailing Information
Address1: 4500 OLD GREENWOOD RD
Address2: FORT SMITH
City: FORT SMITH
State: AR
PostalCode: 729036417
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 245 CAHABA VALLEY PKWY
Address2: SUITE 200
City: PELHAM
State: AL
PostalCode: 351242216
CountryCode: US
TelephoneNumber: 2059426820
FaxNumber: 2059425884
Other Information
ProviderEnumerationDate: 07/22/2009
LastUpdateDate: 07/22/2009
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
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AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225X00000XOTR556ARY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist 

No ID Information.


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