Individual
JAN FRAZIER-CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
430 BARTLES RD, DEWEY, OK 74029-0520
(615) 896-6400
Mailing address
1436 OAKDALE DR, BARTLESVILLE, OK 74006-4609
(918) 766-0784
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3860
OK
Other
Enumeration date
06/01/2007
Last updated
09/10/2007
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