Individual
MISS MARY SHAYNE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2047 SWEET HOME CHURCH RD, EASTMAN, GA 31023-8705
(478) 231-0163
Mailing address
2047 SWEET HOME CHURCH RD, EASTMAN, GA 31023-8705
(478) 231-0163
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA001301
GA
Other
Enumeration date
12/04/2012
Last updated
12/04/2012
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