Most Relevant Information
Provider Data
NPI Number: | 1003214693 |
Provider Name: | BREANNA JONES |
Entity Type: | Individual |
Taxonomy Code: | 225200000X |
Specialty: | Physical Therapy Assistant |
License Number: | PTA. 09804 |
Most Important Dates
Enumeration Date: | 12/12/2014 |
Last Updated: | 12/12/2014 |
Provider Practice Location
303 N HURSTBOURNE PKWY STE 200
LOUISVILLE
KY
402225158
Practice Location Phone/Fax
Phone: | 5024125847 |
Fax: |
Provider Mailing Location
506 HILLCREST AVE
FINDLAY
OH
458404163
Provider Mailing Phone/Fax
Phone: | 5672082231 |
Fax: |