Individual
JERRY JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
4102 SHORE DR, INDIANAPOLIS, IN 46254-2608
(317) 347-9051
Mailing address
7442 CHARRINGTON CT, INDIANAPOLIS, IN 46254-9681
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06003069A
IN
Other
Enumeration date
08/22/2008
Last updated
08/22/2008
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