Individual
MRS. ELIZABETH ANNE JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
124 WESTBROOK RD, ESSEX, CT 06426-1511
(860) 767-7587
(860) 767-3418
Mailing address
35 MARES HILL RD, IVORYTON, CT 06442-1230
(860) 767-1340
(860) 767-1341
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
002091
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130002091CT01
ANTHEM BC BS
CT
01
—
7165764
AETNA
CT
Enumeration date
02/25/2007
Last updated
07/08/2007
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