Individual
TAYLOR JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7160 TCHULAHOMA RD, SOUTHAVEN, MS 38671-9266
(662) 349-2733
Mailing address
214 TAMMY DR, SELMER, TN 38375-1412
(731) 610-6832
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2966
MS
Other
Enumeration date
09/29/2014
Last updated
09/29/2014
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