Wallace William Perry in Pawtucket - Physical Therapy Assistant

Wallace William Perry - NPI 1912064866

Wallace William Perry is a Physical Therapy Assistant in Pawtucket, Rhode Island. Wallace William Perry practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Wallace William Perry is 1912064866. The last update date is 2007-07-08.

Wallace William Perry's current location address is 111 Brewster St, Pawtucket, Rhode Island. You can contact this provider via phone number 4017292629. The mailing address for Wallace William Perry is 111 Brewster St, Pawtucket, Rhode Island. To know further, please read the information below!

Provider Profile Detail

Provider Name Wallace William Perry
Address 111 Brewster St, Pawtucket, Rhode Island
Phone Number 4017292629
Fax Number
Sole Proprietor Y
Credentials PTA

NPI Number Detail

NPI Number 1912064866
Provider Enumeration Date 2007-01-02
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 111 Brewster St
City Pawtucket
State Rhode Island (RI)
Post Code 28604400
Phone Number 4017292629
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physical Therapy Assistant
Taxonomy 225200000X
Licence No PTA00091
Definition:
(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Post

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FAQs about Wallace William Perry

What is the unique 10-digit identification code issued to Wallace William Perry by the Centers for Medicare & Medicaid Services?

The Wallace William Perry has been assigned the NPI (National Provider Identifier) 1912064866 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical address where Wallace William Perry is geographically located?

The Wallace William Perry is physically situated at the following location: 111 Brewster St, Pawtucket, RI, 28604400.

What is Wallace William Perry's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Wallace William Perry is Physical Therapy Assistant, and the corresponding taxonomy classification code for this specialized field is 225200000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1912064866 to Wallace William Perry?

The Wallace William Perry received its 1912064866 assignment from the Centers for Medicare & Medicaid Services on 2007-01-02.

As of what date were the Wallace William Perry's details last updated?

The information pertaining to the Wallace William Perry, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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