Individual
MR. BRADFORD ANTHONY WALLACE JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
130 EXECUTIVE DR, NEWARK, DE 19702-3349
(302) 292-3454
(302) 292-3464
Mailing address
2327 PENNSYLVANIA AVE, WILMINGTON, DE 19806-1318
(302) 571-9567
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
J2-0000629
DE
Other
Enumeration date
05/25/2006
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us