Jack Pan

Physical Therapist · Centerville, OH

Individual Active NPI

NPI number 1639752017

Practice location

70 Rhoads Center Dr Ste a1
Centerville, OH 45458-3886
Phone
(937) 419-3431

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NPI record

NPI
1639752017
Entity type
Individual (Type 1)
Enumeration date
May 3, 2021
Last updated
May 3, 2021
Certified
May 3, 2021
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapist Primary 225100000X PT016058 OH

Mailing address

7430 Wilmington Pike
Dayton, OH 45459-5219

About Jack Pan

Jack Pan is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapist (code 225100000X). The practice location is 70 Rhoads Center Dr Ste a1, Centerville, OH 45458-3886. The NPI number 1639752017 was assigned on May 3, 2021 and the record was last updated on May 3, 2021.

Jack Pan lists a license in the registry: #PT016058 (OH) for Physical Therapist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jack Pan?

The NPI number is 1639752017.

What is the phone number of Jack Pan?

The phone number listed for the practice location is (937) 419-3431.

Where is Jack Pan located?

70 Rhoads Center Dr Ste a1, Centerville, OH 45458-3886.

What is the taxonomy code for Jack Pan?

The primary taxonomy code is 225100000X – Physical Therapist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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