Individual
CLIFTON PAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
420 PR 1380, MORGAN, TX 76671-3230
(254) 998-0159
Mailing address
420 PR 1380, MORGAN, TX 76671-3230
(254) 998-0159
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A-1127
NM
Other
Enumeration date
04/23/2015
Last updated
04/23/2015
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