Individual
DENITA J JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
252 MCHENRY ST, BURLINGTON, WI 53105-1828
(262) 767-7120
Mailing address
252 MCHENRY ST, BURLINGTON, WI 53105-1828
(262) 767-7120
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1042
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36104500
—
WI
Enumeration date
09/25/2008
Last updated
09/25/2008
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