Individual
DAN PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
825 N CENTER AVE, GAYLORD, MI 49735-1592
(989) 731-2341
(989) 731-7787
Mailing address
825 N CENTER AVE, GAYLORD, MI 49735-1592
(989) 731-2341
(989) 731-7787
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502003481
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5502003481
STATE OF MICHIGAN BOARD OF PHYSICAL THERAPY
MI
Enumeration date
05/26/2023
Last updated
05/26/2023
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