Jason P Hartog, MPT

NPI #1154512564 in Pryor, Oklahoma

Provider Information

NPI Number: 1154512564
Entity Type: Individual
Name: Jason P Hartog, MPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: MPT
Enumeration Date: Aug 9, 2007
Last Updated: Apr 20, 2008

Practice Location

Address: 1486 S ELLIOTT ST
City: Pryor
State: Oklahoma
ZIP Code: 74361-8002
Phone: (918) 825-2333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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