KENNETH WALLACE

BRIGHTON, MA
NPI1952787533
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MA  8869)
Enumeration Date2015-08-05
Last Update Date2015-08-05
Business Address
-- KENNETH WALLACE PTA
170 COREY RD BRIGHTON HOUSE REHABILITATION AND NURSING CENTER
BRIGHTON, MA 02135
Phone number: 617-731-0515
Mailing Address
-- KENNETH WALLACE PTA
170 COREY RD BRIGHTON HOUSE REHABILITATION AND NURSING CENTER
BRIGHTON, MA 02135
Phone number: 617-731-0515
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