Provider Demographics
NPI:1619184488
Name:JONES, PETER CHRISTOPHER (OTR)
Entity Type:Individual
Prefix:MR
First Name:PETER
Middle Name:CHRISTOPHER
Last Name:JONES
Suffix:
Gender:M
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3934 CHESTERWOOD DR
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20906-2865
Mailing Address - Country:US
Mailing Address - Phone:301-460-0605
Mailing Address - Fax:301-460-0605
Practice Address - Street 1:3934 CHESTERWOOD DR
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20906-2865
Practice Address - Country:US
Practice Address - Phone:301-460-0605
Practice Address - Fax:301-460-0605
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD4159225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist