MR. Wallace William Perry, PTA
NPI #1912064866 in Pawtucket, Rhode Island
Provider Information
- NPI Number
- 1912064866
- Entity Type
- Individual
- Name
- MR. Wallace William Perry, PTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Jan 2, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 111 BREWSTER ST
- City
- Pawtucket
- State
- Rhode Island
- ZIP Code
- 02860-4400
- Phone
- (401) 729-2629
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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