Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | 3621 | SC |
NPI | 1063678118 |
---|---|
Provider Name | Ms. Darcy M Jones |
First Address | North Charleston, SC 29418-3043 |
Second Address | North Charleston, SC 29418-3043 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/07/2008 |
Last Update Date | 29/07/2008 |