Provider Demographics
NPI:1033423090
Name:JONES, JENNIFER STOKELY (OTD)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:STOKELY
Last Name:JONES
Suffix:
Gender:F
Credentials:OTD
Other - Prefix:DR
Other - First Name:JENNIFER
Other - Middle Name:ELAINE
Other - Last Name:STOKELY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTD
Mailing Address - Street 1:4650 SUNSET BLVD. MS #53
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90027
Mailing Address - Country:US
Mailing Address - Phone:323-361-3849
Mailing Address - Fax:323-361-7081
Practice Address - Street 1:4650 SUNSET BLVD. MS #53
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90027
Practice Address - Country:US
Practice Address - Phone:323-361-3849
Practice Address - Fax:323-361-7081
Is Sole Proprietor?:No
Enumeration Date:2010-08-02
Last Update Date:2016-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA9360225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist