Individual
ELISSA JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
323 INDUSTRIAL PARK, LIBERTY, MS 39645-8069
(601) 657-1000
(601) 657-9121
Mailing address
323 INDUSTRIAL PARK, LIBERTY, MS 39645-8069
(601) 657-1000
(601) 657-9121
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2009
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00230121
—
MS
Enumeration date
11/16/2009
Last updated
06/28/2011
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