Individual
DIANE MARIE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.R.
Contact information
Practice address
205 EAST AVE STE B, SCHULENBURG, TX 78956-1646
(979) 743-4109
(979) 743-2185
Mailing address
404 W NORTH ST, WEIMAR, TX 78962-1105
(979) 725-9041
(979) 725-2185
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
102058
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8T3007
BCBS PROVIDER NUMBER
TX
Enumeration date
12/29/2006
Last updated
07/08/2007
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