Individual
MISS AMANDA JOY JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
6501 N SHERIDAN RD, PEORIA, IL 61614-2932
(309) 692-8110
Mailing address
4803 N VALLEY VIEW RD, EDWARDS, IL 61528-9775
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.002568
IL
Other
Enumeration date
05/02/2008
Last updated
05/02/2008
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