Individual
JOSH PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1110 KEPLER DR, GREEN BAY, WI 54311-8306
(920) 932-6006
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2545-19
WI
Other
Enumeration date
04/22/2024
Last updated
04/22/2024
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