Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 1304 | SC |
NPI | 1003026733 |
---|---|
Provider Name | Julianne Price Jones |
First Address | Cayce, SC 29033-3346 |
Second Address | Cayce, SC 29033-3346 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2007 |
Last Update Date | 08/07/2007 |