Individual
MATTHEW JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
877 HILL EVERHART RD, LEXINGTON, NC 27295-9140
(336) 248-6644
Mailing address
2583A OWEN DR, WINSTON SALEM, NC 27106-4567
(704) 796-7067
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
8735
NC
Other
Enumeration date
12/28/2015
Last updated
12/28/2015
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