Most Relevant Information
Provider Data
| NPI Number: | 1003670837 |
| Provider Name: | LIDIYANA PLES JONES PTA |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | A5667 |
Most Important Dates
| Enumeration Date: | 02/12/2024 |
| Last Updated: | 02/14/2024 |
Provider Practice Location
12158 CENTRAL AVE
MITCHELLVILLE
MD
207211932
Practice Location Phone/Fax
| Phone: | 3013903076 |
| Fax: |
Provider Mailing Location
12401 BRICKYARD BLVD APT 4071
BELTSVILLE
MD
207051654
Provider Mailing Phone/Fax
| Phone: | 7249705150 |
| Fax: |