Individual
MS. COLLEEN R JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
700 CLARK ST, LODI, WI 53555-1010
(608) 592-3241
Mailing address
700 CLARK ST, LODI, WI 53555-1010
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1905-027
WI
Other
Enumeration date
04/18/2012
Last updated
04/18/2012
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