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Individual
JAMES JONES
Active
Individual
JAMES JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT024839
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13667525
CAQH
—
Enumeration date
12/01/2015
Last updated
10/03/2016
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