Individual
EBONY JAMAL JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1515 HENLEY ST, ORANGEBURG, SC 29115-5031
(803) 290-1318
Mailing address
1515 HENLEY ST, ORANGEBURG, SC 29115-5031
(704) 352-3068
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3564
SC
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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