Provider Demographics
NPI:1144497215
Name:WRIGHT-ALMONTE, EULICIA MANDI (OTA)
Entity type:Individual
Prefix:
First Name:EULICIA
Middle Name:MANDI
Last Name:WRIGHT-ALMONTE
Suffix:
Gender:F
Credentials:OTA
Other - Prefix:
Other - First Name:EULICIA
Other - Middle Name:MANDI
Other - Last Name:WRIGHT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTA
Mailing Address - Street 1:5530 METROWEST BLVD
Mailing Address - Street 2:APT 210
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32811-2441
Mailing Address - Country:US
Mailing Address - Phone:407-968-3567
Mailing Address - Fax:
Practice Address - Street 1:9311 S ORANGE BLOSSOM TRL
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32837-8301
Practice Address - Country:US
Practice Address - Phone:407-968-3567
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-08
Last Update Date:2016-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL10607224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant