Individual
ASHLEY LYNNE JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
7677 W PORTNEUF RD, POCATELLO, ID 83204
(120) 860-4626
Mailing address
8200 S ROBIN RD, MCCAMMON, ID 83250-1642
(208) 339-7987
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1942
ID
Other
Enumeration date
09/06/2018
Last updated
09/06/2018
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