JACK PAN

CENTERVILLE, OH
NPI1639752017
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: OH  PT016058)
Enumeration Date2021-05-03
Last Update Date2021-05-03
Business Address
JACK PAN
70 RHOADS CENTER DR STE A1
CENTERVILLE, OH 45458-3886
Phone number: 937-419-3431
Mailing Address
JACK PAN
7430 WILMINGTON PIKE
DAYTON, OH 45459-5219
Phone number: