Individual
TIMOTHY JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
1009 CLYDE ST, AMARILLO, TX 79106
(806) 352-5295
Mailing address
415 US HWY 377, ARGYLE, TX 76226-3923
(940) 464-7021
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
211706
TX
Other
Enumeration date
09/14/2018
Last updated
09/14/2018
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