MR. WALLACE PERRY, PTA

Physical Therapy Assistant

Active Individual
NPI: 1912064866

Practice Address

111 BREWSTER ST
Pawtucket, RI 02860

Phone: (401) 729-2629

Specialties

Specialty Code Primary License
Physical Therapy Assistant 225200000X Yes PTA00091 (RI)

Frequently Asked Questions

NPI 1912064866 is the National Provider Identifier for MR. WALLACE PERRY, PTA, a Physical Therapy Assistant provider located in Pawtucket, RI. This NPI was enumerated on January 2, 2007.
MR. WALLACE PERRY, PTA practices at 111 BREWSTER ST, Pawtucket, RI 02860.

Quick Facts

NPI
1912064866
Type
Individual
Enumerated
Jan 2, 2007
Last Updated
Jul 8, 2007

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