MEDICARE: MR. PETER CHRISTOPHER JONES OTR

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	225X00000X	Occupational Therapist	4159	MD

General Provider Information

NPI Number	:	1619184488
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. PETER CHRISTOPHER JONES OTR

Provider Business Mailing Address
First Line	:	3934 CHESTERWOOD DR
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20906-2865
Country	:	US
Telephone Number	:	301-460-0605
Fax Number	:	301-460-0605

Provider Business Practice Location Address
First Line	:	3934 CHESTERWOOD DR
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20906-2865
Country	:	US
Telephone Number	:	301-460-0605
Fax Number	:	301-460-0605

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

Provider Enumeration Date	:	05/17/2007
Last Update Date	:	07/08/2007

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