BRUCE ALLEN WALL

PAW PAW, MI
NPI1932477320
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MI  5501015692)
Enumeration Date2011-12-13
Last Update Date2011-12-13
Business Address
Mr. BRUCE ALLEN WALL PT, DPT
451 HEALTH PKWY
PAW PAW, MI 49079-8242
Phone number: 269-657-1490
Mailing Address
Mr. BRUCE ALLEN WALL PT, DPT
451 HEALTH PKWY
PAW PAW, MI 49079-8242
Phone number: 269-657-1490
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