Individual
C JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
109 N MCKINNEY ST, SWEENY, TX 77480-3400
(443) 310-9611
Mailing address
9164 CANTERBURY RIDING, LAUREL, MD 20723-1454
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952422412
—
TX
Enumeration date
12/31/2008
Last updated
01/10/2012
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