Wall, Bruce Allen

Wall, Bruce Allen is an individual health care provider with primary practice located at 451 Health Pkwy , Paw Paw MI 49079-8242. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Wall, Bruce Allen can be contacted via phone (269) 657-1490.

Contact Information

Primary practice address
451 Health Pkwy Paw Paw MI 49079-8242
Phone: (269) 657-1490
Fax: (269) 657-1444
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 5501015692 Michigan

Profile Details

NPI number 1932477320
LBN Legal business name Wall, Bruce Allen
Credentials PT, DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2011
Last updated Dec 13th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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