Individual
SUSAN JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 POLO RIDGE CT, WINSTON SALEM, NC 27106-3950
(336) 734-1734
(336) 723-7828
Mailing address
4121 TANGLE LN, WINSTON SALEM, NC 27106-2933
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
703
NC
Other
Enumeration date
03/16/2007
Last updated
07/08/2007
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