Individual
SARA K. JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
14 WALL ST, NEW YORK, NY 10005-2101
(212) 587-8606
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-8738
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
005509-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005509-1
NYS LICENSE NUMBER
NY
Enumeration date
08/11/2006
Last updated
06/25/2015
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