Individual
DAVID TYLER JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
2817 ROCK MERRITT AVE, FORT LIBERTY, NC 28310-5302
(910) 907-8922
(910) 907-6069
Mailing address
2817 ROCK MERRITT AVE, FORT LIBERTY, NC 28310-0001
(910) 907-8922
(910) 907-6069
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14655
MEDICAL LICENSE
NC
Enumeration date
12/27/2021
Last updated
01/31/2024
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