Provider Demographics
NPI:1265658942
Name:JONES, RHONDA ADELE (PT)
Entity Type:Individual
Prefix:MS
First Name:RHONDA
Middle Name:ADELE
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 1:5607 PINFISH CT
Mailing Address - Street 2:
Mailing Address - City:WALDORF
Mailing Address - State:MD
Mailing Address - Zip Code:20603-4238
Mailing Address - Country:US
Mailing Address - Phone:301-645-2627
Mailing Address - Fax:301-870-5616
Practice Address - Street 1:5607 PINFISH CT
Practice Address - Street 2:
Practice Address - City:WALDORF
Practice Address - State:MD
Practice Address - Zip Code:20603-4238
Practice Address - Country:US
Practice Address - Phone:301-645-2627
Practice Address - Fax:301-870-5616
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD16352225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist