Individual
TABITHA JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3636 N RIDGE RD, WICHITA, KS 67205-1213
(316) 462-3636
Mailing address
1615 TIMBERLINE DR, ROSE HILL, KS 67133-9317
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
T-05884
KS
Other
Enumeration date
06/30/2023
Last updated
06/30/2023
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