Individual
MRS. ALISSA ANNE JONES
Active
Individual
MRS. ALISSA ANNE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6606
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
954976
AHCCCS #
AZ
01
—
Z157065
MEDICARE PTAN
AZ
Enumeration date
10/12/2006
Last updated
10/02/2014
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