Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BRUCE ALLEN WALL JR., PT, DPT
ActiveMR. BRUCE ALLEN WALL JR., PT, DPT is a Physical Therapy Assistant healthcare provider located in PAW PAW, Michigan. NPI 1932477320 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · PAW PAW, MI
Registration Details
- NPI Number
- 1932477320
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 13, 2011 (14.658585230579 yrs)
- Last Updated
- Dec 13, 2011
- License
-
5501015692 (MI)
Practice Information
- Address
-
451 HEALTH PKWYPAW PAW, MI, 490798242Browse MI providers · Browse ZIP 49079
- Phone
- 2696571490
- Fax
- 2696571444
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in PAW PAW, MI
| Name | Credential | NPI |
|---|---|---|
| PIOTR JAN MIETUSIEWICZ | PHYSICAL THERAPIST | 1073525358 |
| RYAN E. LANGEJANS | PHYSICAL THERAPIST | 1467464768 |
| PEACHIE SMITH | PT | 1962701664 |
| AARON BANSEN | P.T. | 1689010936 |
| MARLESA MARIA JOHNSON | DPT | 1235781345 |
| ERIK MATHENY | MPT | 1376195032 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.