Individual
PHILLIP EDWARD JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
4201 31ST ST S, ST PETERSBURG, FL 33712-4051
(727) 867-1104
Mailing address
334 48TH AVE N APT 231, ST PETERSBURG, FL 33703-3953
(727) 220-8374
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
29356
FL
Other
Enumeration date
06/09/2021
Last updated
06/09/2021
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