Search › Delaware › Occupational Therapy Assistant
Bradford Wallace
NPI 1609821636 · on the registry since 2006
Practice
- Address
- 130 Executive Dr
Newark, DE 19702 - Phone
- (302) 292-3454
- Fax
- (302) 292-3464
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Occupational Therapy Assistant
224Z00000X
- Licence states on file
- DE
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-07-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Delaware