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Individual

MRS. CHRISTINE DANIELE JONES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
442 W KORTSEN RD STE 202, CASA GRANDE, AZ 85122-5923
(520) 424-1102
(520) 413-5787
Mailing address
442 W KORTSEN RD STE 202, CASA GRANDE, AZ 85122-5923
(520) 424-1102
(520) 413-5787

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
005007
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
405735
AZ
Enumeration date
11/16/2020
Last updated
11/16/2020
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