Individual
JASON BARCLAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3481 N PIN OAK ST, FAYETTEVILLE, AR 72704-5689
(314) 435-5270
Mailing address
3481 N PIN OAK ST, FAYETTEVILLE, AR 72704-5689
(314) 435-5270
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070016569
IL
Other
Enumeration date
08/06/2008
Last updated
08/06/2008
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