Provider Demographics
NPI:1811192941
Name:JONES, MARGARET CLARK (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:CLARK
Last Name:JONES
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:130 WAGON WHEEL LANE
Mailing Address - Street 2:
Mailing Address - City:SILVER CITY
Mailing Address - State:NM
Mailing Address - Zip Code:88061
Mailing Address - Country:US
Mailing Address - Phone:505-388-4060
Mailing Address - Fax:
Practice Address - Street 1:100 CALLE EL CENTRO
Practice Address - Street 2:FORT BAYARD MEDICAL CENTER PHYSICAL THERAPY DEPARTMENT
Practice Address - City:FORT BAYARD
Practice Address - State:NM
Practice Address - Zip Code:88036
Practice Address - Country:US
Practice Address - Phone:505-537-3302
Practice Address - Fax:505-537-8876
Is Sole Proprietor?:No
Enumeration Date:2007-06-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NM1191225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist