Individual
BLAKE ALEXANDRIA TERRY JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,OTR/L
Contact information
Practice address
115 S LUDLOW ST, DAYTON, OH 45402-1812
(937) 542-3000
Mailing address
5740 CHUKAR DR, DAYTON, OH 45424-4516
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
008825
OH
Other
Enumeration date
06/06/2017
Last updated
06/06/2017
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