Provider Demographics
NPI:1790671782
Name:WRIGHT, ADDIKA RAYANN (COTA)
Entity type:Individual
Prefix:
First Name:ADDIKA
Middle Name:RAYANN
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
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Mailing Address - Street 1:300 SUNSET DR SW APT 362
Mailing Address - Street 2:
Mailing Address - City:ARDMORE
Mailing Address - State:OK
Mailing Address - Zip Code:73401-3150
Mailing Address - Country:US
Mailing Address - Phone:580-677-5189
Mailing Address - Fax:
Practice Address - Street 1:1402 BROOKVIEW DR
Practice Address - Street 2:
Practice Address - City:ARDMORE
Practice Address - State:OK
Practice Address - Zip Code:73401-1219
Practice Address - Country:US
Practice Address - Phone:580-850-1160
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-16
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant