Individual
STEPHANIE C JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
1975 GLENN MITCHELL DR, SUITE 200, VIRGINIA BEACH, VA 23456
(757) 368-3284
(757) 321-3332
Mailing address
230 CLEARFIELD AVE, SUITE 124, VIRGINIA BEACH, VA 23462-1832
(757) 321-3300
(757) 321-3332
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119003700
VA
225XH1200X
Hand Occupational Therapist
0119003700
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C05501
MEDICARE GROUP
VA
Enumeration date
07/26/2006
Last updated
07/23/2018
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