Provider Demographics
NPI:1063678118
Name:JONES, DARCY M (PT)
Entity Type:Individual
Prefix:MS
First Name:DARCY
Middle Name:M
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 1:1010 BAKERS LANDING DR
Mailing Address - Street 2:
Mailing Address - City:NORTH CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29418-3043
Mailing Address - Country:US
Mailing Address - Phone:843-814-0680
Mailing Address - Fax:843-760-0906
Practice Address - Street 1:1010 BAKERS LANDING DR
Practice Address - Street 2:
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29418-3043
Practice Address - Country:US
Practice Address - Phone:843-814-0680
Practice Address - Fax:843-760-0906
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-29
Last Update Date:2008-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC36212251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics