Most Relevant Information
Provider Data
| NPI Number: | 1003369984 |
| Provider Name: | TIERRA NICOLE JONES OTR/L |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 08307 |
Most Important Dates
| Enumeration Date: | 07/27/2016 |
| Last Updated: | 05/03/2021 |
Provider Practice Location
22 S GREENE ST
BALTIMORE
MD
212011590
Practice Location Phone/Fax
| Phone: | 4103287667 |
| Fax: |
Provider Mailing Location
4186 ADRIANNE WAY
RANDALLSTOWN
MD
211334349
Provider Mailing Phone/Fax
| Phone: | 4109229238 |
| Fax: |