Mason Harrell, PT | |
1633 S Virginia Ave, Atoka, OK 74525-3901 | |
(580) 364-7090 | |
(844) 203-9997 |
Full Name | Mason Harrell |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 1633 S Virginia Ave, Atoka, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790554996 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 6514 (Oklahoma) | Primary |
Provider Name | 40:31 Physical Therapy And Fitness Pllc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1386017051 PECOS PAC ID: 5698072569 Enrollment ID: O20160322000196 |
Mailing Address | Practice Location Address |
---|---|
Mason Harrell, PT 1633 S Virginia Ave, Atoka, OK 74525-3901 Ph: (580) 364-7090 | Mason Harrell, PT 1633 S Virginia Ave, Atoka, OK 74525-3901 Ph: (580) 364-7090 |
40:31 Physical Therapy And Fitness, Pllc Physical Therapist Medicare: Medicare Enrolled Practice Location: 1633 S Virginia Ave, Atoka, OK 74525 Phone: 580-364-7090 Fax: 844-203-9997 | |
Corrie Lynn Brown, PT, DPT, OCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1633 S Virginia Ave, Atoka, OK 74525 Phone: 580-364-7090 Fax: 844-203-9997 | |
Joseph Chapin, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 816 S Forrest Hill Rd, Atoka, OK 74525 Phone: 580-239-2253 | |
Mrs. Kelly Ann Chapin, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 816 Forrest Hill, Atoka, OK 74525 Phone: 580-239-2252 |