Provider Demographics
NPI:1083997514
Name:JONES, SOPHIE JEAN (DPT)
Entity Type:Individual
Prefix:DR
First Name:SOPHIE
Middle Name:JEAN
Last Name:JONES
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:SOPHIE
Other - Middle Name:JEAN
Other - Last Name:REED
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8107 DUVALL AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21237-2819
Mailing Address - Country:US
Mailing Address - Phone:443-564-3693
Mailing Address - Fax:
Practice Address - Street 1:210 E CENTRE ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21202-3619
Practice Address - Country:US
Practice Address - Phone:410-659-5990
Practice Address - Fax:410-659-5993
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-21
Last Update Date:2011-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD23798225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist