Most Relevant Information
Provider Data
| NPI Number: | 1003029976 |
| Provider Name: | PENELOPE JONES M.P.T. |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 5501006617 |
Most Important Dates
| Enumeration Date: | 05/08/2007 |
| Last Updated: | 05/02/2022 |
Provider Practice Location
6815 DIXIE HWY STE 3
CLARKSTON
MI
483462092
Practice Location Phone/Fax
| Phone: | 2483808300 |
| Fax: | 2483848301 |
Provider Mailing Location
6815 DIXIE HWY STE 3
CLARKSTON
MI
483462092
Provider Mailing Phone/Fax
| Phone: | 2483808300 |
| Fax: | 2483848301 |