Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Bruce Allen Wall Jr., PT, DPT

Individual provider Physical Therapist · NPI 1932477320

Mr. Bruce Allen Wall Jr., PT, DPT is a Physical Therapist in Paw Paw, Michigan. Licensed in Michigan. Registered with an NPI since 2011.

Licensed in
MI
In the registry since
2011
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

451 Health Pkwy
Paw Paw, MI 49079-8242
Phone: (269) 657-1490
Fax: (269) 657-1444
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501015692 (MI)

Record details

NPI number1932477320
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedDecember 13, 2011
Last updated in NPPESDecember 13, 2011

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