Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BRADFORD ANTHONY WALLACE JR.
ActiveMR. BRADFORD ANTHONY WALLACE JR. is a Occupational Therapy Assistant healthcare provider located in NEWARK, Delaware. NPI 1609821636 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · NEWARK, DE
Registration Details
- NPI Number
- 1609821636
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 25, 2006 (20.431574530767 yrs)
- Last Updated
- Jul 8, 2007
- License
-
J2-0000629 (DE)
Practice Information
- Address
-
130 EXECUTIVE DRNEWARK, DE, 197023349Browse DE providers · Browse ZIP 19702
- Phone
- 3022923454
- Fax
- 3022923464
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in NEWARK, DE
| Name | Credential | NPI |
|---|---|---|
| JENNIFER LAGRANDE | — | 1720122633 |
| SHARI NUDELMAN | — | 1700920618 |
| ANGELA POSWINSKI | — | 1790829604 |
| LAURE LUTES | — | 1801930714 |
| ANN RIDDLE | — | 1245374156 |
| DEBBIE SCHULTE | — | 1972647881 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.