Individual
QUIANA STARLET JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
960 W SOUTHERN AVE, D2013, MESA, AZ 85210-4935
(313) 469-2035
Mailing address
960 W SOUTHERN AVE, D2013, MESA, AZ 85210-4935
(313) 469-2035
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5839
AZ
Other
Enumeration date
12/04/2014
Last updated
12/04/2014
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