Individual
STEPHANIE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4180 SAGE BLUFF CROSSING, FORT WAYNE, IN 46804
(260) 443-7300
Mailing address
3075 COUNTY ROAD 18, WATERLOO, IN 46793-9578
(419) 307-0651
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06005181A
IN
Other
Enumeration date
04/26/2021
Last updated
04/26/2021
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