Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Wallace William Perry, PTA

Individual provider Physical Therapy Assistant · NPI 1912064866

Mr. Wallace William Perry, PTA is a Physical Therapy Assistant in Pawtucket, Rhode Island. Practices as a sole proprietor. Licensed in Rhode Island.

Licensed in
RI
In the registry since
2007
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

111 Brewster St
Pawtucket, RI 02860-4400
Phone: (401) 729-2629
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA00091 (RI)

Record details

NPI number1912064866
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedJanuary 2, 2007
Last updated in NPPESJuly 8, 2007

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