BRADFORD ANTHONY WALLACE

NEWARK, DE
NPI1609821636
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: DE  J2-0000629)
Enumeration Date2006-05-25
Last Update Date2007-07-08
Business Address
Mr. BRADFORD ANTHONY WALLACE
130 EXECUTIVE DR
NEWARK, DE 19702-3349
Phone number: 302-292-3454
Mailing Address
Mr. BRADFORD ANTHONY WALLACE
2327 PENNSYLVANIA AVE
WILMINGTON, DE 19806-1318
Phone number: 302-571-9567
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