# DR. JUSTIN BAL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1003761198
- **Gender:** Man
- **Credential:** DPT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 17590-24 | WI | Yes |
| 225100000X | Physical Therapist | 5501303858 | MI | — |

## Other

- **Enumeration date:** 03/03/2026
- **Last updated:** 03/03/2026