Individual
MISS KAELA MARIE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
806 W GEORGETOWN ST, CRYSTAL SPRINGS, MS 39059-9453
(601) 473-6915
Mailing address
316 RIDGE PARK DR, RAYMOND, MS 39154-7511
(601) 473-6915
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
OT3959
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT3959
N/A
MS
Enumeration date
08/11/2022
Last updated
08/11/2022
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