Individual
JOHN CHAD HARLESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
515 2ND AVE NW, REFORM, AL 35481-2331
(205) 375-6379
Mailing address
4109 HIGHWAY 98 W, SUMMIT, MS 39666-9132
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
834
AL
Other
Enumeration date
08/19/2008
Last updated
02/01/2013
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