Provider Demographics
NPI:1053385948
Name:WRIGHT, DAWN S (OTR L)
Entity type:Individual
Prefix:
First Name:DAWN
Middle Name:S
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:OTR L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4074 ROUTE 31
Mailing Address - Street 2:
Mailing Address - City:JONES MILLS
Mailing Address - State:PA
Mailing Address - Zip Code:15646
Mailing Address - Country:US
Mailing Address - Phone:724-593-8048
Mailing Address - Fax:
Practice Address - Street 1:3960 STATE ROUTE 30
Practice Address - Street 2:SUITE 104
Practice Address - City:LATROBE
Practice Address - State:PA
Practice Address - Zip Code:15650-5257
Practice Address - Country:US
Practice Address - Phone:724-532-3422
Practice Address - Fax:724-532-3424
Is Sole Proprietor?:No
Enumeration Date:2006-02-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC001781L225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1671402OtherHIGHMARK BC BS
PA1671402OtherHIGHMARK BC BS