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Search › Massachusetts › 225200000X

Kenneth Wallace, PTA

NPI 1952787533 · on the registry since 2015

Practice

Address
170 Corey Rd
Brighton House Rehabilitation And Nursing Center
Brighton, MA 02135
Phone
(617) 731-0515
Organisation at this address
Brighton Operator Llc
Bane Brighton House, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
14

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
MA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-08-05

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 Massachusetts