Individual
DESTANI AMONI JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1810 BACK CREEK DR, CHARLOTTE, NC 28213-2159
(704) 986-7291
Mailing address
5805 HORSE PASTURE LN APT 232, CHARLOTTE, NC 28269-3351
(315) 679-3224
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
16216
NC
Other
Enumeration date
11/25/2024
Last updated
11/25/2024
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