Individual
DONNA MARIE JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
375 S 11TH ST, CLINTON, IN 47842-1053
(765) 832-1631
Mailing address
375 S 11TH ST, CLINTON, IN 47842-1053
(765) 832-1631
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06002188A
IN
225200000X
Physical Therapy Assistant
2058143
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06002188A
INDIANA STATE ISSUED
IN
Enumeration date
01/21/2008
Last updated
07/01/2010
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