Individual
AMANDA LEIGH JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
46 LEROY SLOCUM LN, FOXWORTH, MS 39483
(601) 731-4791
Mailing address
46 LEROY SLOCUM LN, FOXWORTH, MS 39483
(601) 731-4791
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
TA2587
MS
Other
Enumeration date
07/06/2020
Last updated
07/06/2020
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