Provider Demographics
NPI:1366562563
Name:PARECE-WRIGHT, VANDA M (OTR)
Entity type:Individual
Prefix:
First Name:VANDA
Middle Name:M
Last Name:PARECE-WRIGHT
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2800 32ND ST
Mailing Address - Street 2:
Mailing Address - City:SNYDER
Mailing Address - State:TX
Mailing Address - Zip Code:79549-4410
Mailing Address - Country:US
Mailing Address - Phone:707-273-8860
Mailing Address - Fax:
Practice Address - Street 1:2800 32ND ST
Practice Address - Street 2:
Practice Address - City:SNYDER
Practice Address - State:TX
Practice Address - Zip Code:79549-4410
Practice Address - Country:US
Practice Address - Phone:707-273-8860
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-30
Last Update Date:2018-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8308225X00000X
TX115126225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist