Individual
JONATHAN PERRY HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
100 CAMPUS DR, WEATHERFORD, OK 73096-3001
(580) 774-3072
Mailing address
415 W OKLAHOMA AVE, APT. #9, WEATHERFORD, OK 73096-2857
(956) 337-2920
(580) 774-3749
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
442
OK
Other
Enumeration date
02/09/2007
Last updated
07/08/2007
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