Individual
JASON EARL TANNEHILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4157 S HARVARD AVE STE 101, TULSA, OK 74135-2606
(918) 949-4390
(918) 392-7878
Mailing address
4157 S HARVARD AVE STE 101, TULSA, OK 74135-2606
(918) 949-4390
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2510
OK
Other
Enumeration date
06/03/2021
Last updated
06/03/2021
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