Individual
MR. DAN PAIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2727 MC CLELLAND BLVD, JOPLIN, MO 64804-1626
(417) 781-2727
Mailing address
14424 CARDIFF LN, DIAMOND, MO 64840-9107
(417) 325-4377
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
107258
MO
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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