Individual
MASON HARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1633 S VIRGINIA AVE, ATOKA, OK 74525-3901
(580) 364-7090
(844) 203-9997
Mailing address
1633 S VIRGINIA AVE, ATOKA, OK 74525-3901
(580) 364-7090
(844) 203-9997
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6514
OK
Other
Enumeration date
12/28/2023
Last updated
12/28/2023
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