Bradford Anthony Wallace in Wilmington - Occupational Therapy Assistant
Bradford Anthony Wallace - NPI 1609821636
Bradford Anthony Wallace is a Occupational Therapy Assistant in Wilmington, Delaware. Bradford Anthony Wallace practices all healthcare services and medical treatments related to Occupational Therapy Assistant. The NPI Number for Bradford Anthony Wallace is 1609821636. The last update date is 2007-07-08.
Bradford Anthony Wallace's current location address is 2327 Pennsylvania Ave, Wilmington, Delaware. You can contact this provider via phone number 3025719567. The mailing address for Bradford Anthony Wallace is 2327 Pennsylvania Ave, Wilmington, Delaware. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bradford Anthony Wallace |
|---|---|
| Address | 2327 Pennsylvania Ave, Wilmington, Delaware |
| Phone Number | 3025719567 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1609821636 |
|---|---|
| Provider Enumeration Date | 2006-05-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2327 Pennsylvania Ave |
|---|---|
| City | Wilmington |
| State | Delaware (DE) |
| Post Code | 198061318 |
| Phone Number | 3025719567 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapy Assistant |
|---|---|
| Taxonomy | 224Z00000X |
| Licence No | J2-0000629 |
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Definition: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed |
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What is the unique identifier code issued to Bradford Anthony Wallace by the Centers for Medicare & Medicaid Services?
The Bradford Anthony Wallace has been assigned the NPI (National Provider Identifier) 1609821636. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Bradford Anthony Wallace's facilities are situated?
The facilities of Bradford Anthony Wallace are physically located at the following address: 2327 Pennsylvania Ave, Wilmington, DE, 198061318.
On what date was the 1609821636 assigned to Bradford Anthony Wallace?
The Bradford Anthony Wallace was issued its 1609821636 on 2006-05-25, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
On what date did the Bradford Anthony Wallace receive the assignment of its 1609821636 from the Centers for Medicare & Medicaid Services?
The Bradford Anthony Wallace was issued its 1609821636 by the Centers for Medicare & Medicaid Services on 2006-05-25.
When was the information regarding Bradford Anthony Wallace most recently updated?
The details pertaining to the Bradford Anthony Wallace, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
NPI Number: 1912900226
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