Individual
TATIANA MARIE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
620 4J CT, GILLETTE, WY 82716-4130
(307) 686-2569
Mailing address
PO BOX 1790, DOUGLAS, WY 82633-1790
(307) 358-9464
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR-907
WY
Other
Enumeration date
10/20/2011
Last updated
11/12/2012
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