Provider Demographics
NPI:1013039395
Name:JONES, RHONDA MIZELLE (PT)
Entity Type:Individual
Prefix:MRS
First Name:RHONDA
Middle Name:MIZELLE
Last Name:JONES
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:396 JONESTOWN RD
Mailing Address - Street 2:
Mailing Address - City:PINK HILL
Mailing Address - State:NC
Mailing Address - Zip Code:28572-8707
Mailing Address - Country:US
Mailing Address - Phone:252-568-4542
Mailing Address - Fax:
Practice Address - Street 1:202 S CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:PINK HILL
Practice Address - State:NC
Practice Address - Zip Code:28572-8054
Practice Address - Country:US
Practice Address - Phone:252-568-4176
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2262225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist