Individual
KELLY ANN JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
10724 W OKLAHOMA AVE, WEST ALLIS, WI 53227-4144
(414) 545-0206
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1866-19
WI
Other
Enumeration date
01/26/2018
Last updated
01/26/2018
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