WALLACE WILLIAM PERRY

PAWTUCKET, RI
NPI1912064866
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: RI  PTA00091)
Enumeration Date2007-01-02
Last Update Date2007-07-08
Business Address
Mr. WALLACE WILLIAM PERRY pta
111 BREWSTER ST
PAWTUCKET, RI 02860-4400
Phone number: 401-729-2629
Mailing Address
Mr. WALLACE WILLIAM PERRY pta
144 CENTRE ST
RUMFORD, RI 02916-3146
Phone number: 401-438-5031
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