Individual provider · Type 1 NPI

Bradford Anthony Wallace Jr.

Occupational Therapy Assistant · Newark, DE

NPI number 1609821636 Active

Practice location

130 Executive Dr
Newark, DE 19702-3349

Call (302) 292-3454 Map

Fax (302) 292-3464

Mailing address

2327 Pennsylvania Ave
Wilmington, DE 19806-1318

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XJ2-0000629 (DE)

Occupational Therapy Assistant: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examinatio…

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About NPI 1609821636

Bradford Anthony Wallace Jr.'s National Provider Identifier is 1609821636, issued on May 25, 2006. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Newark, DE. The record was last updated on Jul 13, 2026.