MEDICARE: MS. RHONDA ADELE JONES PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	16352	MD

General Provider Information

NPI Number	:	1265658942
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. RHONDA ADELE JONES PT

Provider Business Mailing Address
First Line	:	5607 PINFISH CT
Second Line	:
City	:	WALDORF
State	:	MD
Zip	:	20603-4238
Country	:	US
Telephone Number	:	301-645-2627
Fax Number	:	301-870-5616

Provider Business Practice Location Address
First Line	:	5607 PINFISH CT
Second Line	:
City	:	WALDORF
State	:	MD
Zip	:	20603-4238
Country	:	US
Telephone Number	:	301-645-2627
Fax Number	:	301-870-5616

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/18/2007
Last Update Date	:	07/08/2007

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