Provider Demographics
NPI:1548769292
Name:JONES-PEOPLES, TAMARA CHATINE
Entity Type:Individual
Prefix:MRS
First Name:TAMARA
Middle Name:CHATINE
Last Name:JONES-PEOPLES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17388 BIRCHCREST DR
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48221-2733
Mailing Address - Country:US
Mailing Address - Phone:313-647-2365
Mailing Address - Fax:
Practice Address - Street 1:25330 W 6 MILE RD
Practice Address - Street 2:
Practice Address - City:REDFORD
Practice Address - State:MI
Practice Address - Zip Code:48240-2105
Practice Address - Country:US
Practice Address - Phone:313-541-0654
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-08
Last Update Date:2018-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant