MR. BRADFORD ANTHONY JR. WALLACE – Occupational Therapy Assistant, NPI 1609821636
Occupational Therapy Assistant
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Provider Addresses for MR. BRADFORD ANTHONY JR. WALLACE
2327, Pennsylvania Avenue, Wawaset, Wawaset Park, Wilmington, New Castle County, Delaware, 19806, United States
WILMINGTON, DE 198061318
Phone: (302) 571-9567
Type: Mailing
130, Executive Drive, Newark Village, Carmel, Hamilton County, Indiana, 46032, United States
NEWARK, DE 197023349
Phone: (302) 292-3454
Fax: (302) 292-3464
Type: Location
NPPES updates history
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
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Insurance plans in this area (ZIP 19806)
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