Individual
MRS. NICHOLE L JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
204 S ERIC AVE, CROOKS, SD 57020-2088
(605) 553-3143
Mailing address
204 S ERIC AVE, CROOKS, SD 57020-2088
(605) 553-3143
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
187A
SD
Other
Enumeration date
08/30/2007
Last updated
08/30/2007
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