Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK PAN
Active Sole ProprietorJACK PAN is a Physical Therapy Assistant healthcare provider located in CENTERVILLE, Ohio. NPI 1639752017 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · CENTERVILLE, OH
Registration Details
- NPI Number
- 1639752017
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 3, 2021 (5.2805201847631 yrs)
- Last Updated
- May 3, 2021
- License
-
PT016058 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
70 RHOADS CENTER DR STE A1CENTERVILLE, OH, 454583886Browse OH providers · Browse ZIP 45458
- Phone
- 9374193431
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in CENTERVILLE, OH
| Name | Credential | NPI |
|---|---|---|
| JOHN KELLERSTRASS | PT, ATC, MED | 1043287915 |
| PETER ERNEST SELTEN | P.T. | 1720019730 |
| NICOLE L LOWER | MPT | 1558393348 |
| SHANNON E GOODHUE | PT | 1275619009 |
| JOHN M STEINER | PT | 1740350388 |
| PAUL J KREMER | PT | 1598892796 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.