Individual
KENEISHA TANIESE JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8508 LOCH RAVEN BLVD STE I, TOWSON, MD 21286-2354
(443) 469-3426
Mailing address
1246 HALSTEAD RD, PARKVILLE, MD 21234-6019
(959) 202-9000
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A02900
MD
Other
Enumeration date
12/22/2021
Last updated
12/22/2021
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