Provider Demographics
NPI:1366058000
Name:WRIGHT, LAUREN ANNE (COTA/L)
Entity type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:ANNE
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 TURNERS POND DR
Mailing Address - Street 2:
Mailing Address - City:LINCOLN UNIVERSITY
Mailing Address - State:PA
Mailing Address - Zip Code:19352-1757
Mailing Address - Country:US
Mailing Address - Phone:484-477-8080
Mailing Address - Fax:
Practice Address - Street 1:8 CELLA DR
Practice Address - Street 2:
Practice Address - City:UPPER CHICHESTER
Practice Address - State:PA
Practice Address - Zip Code:19014-2329
Practice Address - Country:US
Practice Address - Phone:484-477-8080
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-18
Last Update Date:2021-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOP008170224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant