Individual
CLARENCE JASON HARLESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
9540 N GARNETT RD, OWASSO, OK 74055-4406
(918) 609-1300
Mailing address
9540 N GARNETT RD, OWASSO, OK 74055-4406
(918) 609-1300
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4995
SC
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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