Individual
KELLY ELIZABETH JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
N27W5707 LINCOLN BLVD, CEDARBURG, WI 53012-2852
(262) 376-7676
Mailing address
W73N389 GREYSTONE DR, CEDARBURG, WI 53012-2282
(262) 618-2600
Taxonomy
Speciality
Code
Description
License number
State
225XR0403X
Driving and Community Mobility Occupational Therapist
Primary
2559-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40776900
—
WI
Enumeration date
05/10/2007
Last updated
08/19/2009
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