Individual
CIERRA JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3110 OAKBRIDGE BLVD E, LAKELAND, FL 33803-5987
(863) 619-2102
Mailing address
3906 COUNTRY BND E, LAKELAND, FL 33811-1301
(863) 709-6502
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA12875
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
224Z00000X
—
FL
Enumeration date
07/07/2020
Last updated
07/07/2020
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