Individual
JASON ANTHONY MCCLARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.P.T
Contact information
Practice address
1346 S MORLEY ST, MOBERLY, MO 65270-1943
(660) 263-5488
Mailing address
1904 POTOMAC DR, COLUMBIA, MO 65203-5843
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2004028080
MO
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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