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NPI Code Detail

MEDICARE: VICTORIA D JONES PTA

MEDICARE: VICTORIA D JONES PTA
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
1225200000XPhysical Therapy AssistantA2018MD

General Provider Information

NPI Number : 1376669143
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTORIA D JONES PTA
Provider Business Mailing Address
First Line : 1100 DUDLEY CORNERS ROAD
Second Line :
City : MILLINGTON
State : MD
Zip : 21651
Country : US
Telephone Number : 410-479-2130
Fax Number : 410-479-9018
Provider Business Practice Location Address
First Line : 520 KERR AVE
Second Line :
City : DENTON
State : MD
Zip : 21629-1343
Country : US
Telephone Number : 410-479-2130
Fax Number : 410-479-9018
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2007
Last Update Date : 07/08/2007

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Directions to “ VICTORIA D JONES PTA” Practice Location

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