Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH WALLACE, PTA
ActiveKENNETH WALLACE, PTA is a Occupational Therapist healthcare provider located in BRIGHTON, Massachusetts. NPI 1952787533 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · BRIGHTON, MA
Registration Details
- NPI Number
- 1952787533
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 5, 2015 (10.990249914334 yrs)
- Last Updated
- Aug 5, 2015
- License
-
8869 (MA)
Practice Information
- Address
-
170 COREY RDBRIGHTON HOUSE REHABILITATION AND NURSING CENTERBRIGHTON, MA, 02135Browse MA providers · Browse ZIP 02135
- Phone
- 6177310515
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in BRIGHTON, MA
| Name | Credential | NPI |
|---|---|---|
| CLARITZA C BEATO | PTA | 1386760262 |
| NANCY HOULIHAN | PTA | 1093041188 |
| MAGGIE LEE JONES | PTA | 1063940815 |
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.