Individual
HEATH JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MOTRL
Contact information
Practice address
100 COMMUNITY DR, SUITE 105, TOBYHANNA, PA 18466-8985
(570) 839-9972
(570) 839-3395
Mailing address
388 TUNNEL ROAD, WHITE HAVEN, PA 18661
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC008848
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1441421
BLUE SHIELD
PA
01
—
50065519
CAPITAL BLUE CROSS
PA
01
—
7225432
AETNA
PA
01
—
816783
FIRST PRIORITY
PA
Enumeration date
11/22/2005
Last updated
07/08/2007
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