Individual
KENNETH JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1545 W PLACITA RIO PECOS, SAHUARITA, AZ 85629-8934
(520) 405-4909
Mailing address
1545 W PLACITA RIO PECOS, SAHUARITA, AZ 85629-8934
(520) 405-4909
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5215
AZ
Other
Enumeration date
09/25/2014
Last updated
09/25/2014
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