Provider Demographics
NPI:1922367598
Name:JONES, DEBORAH FREEMAN
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:FREEMAN
Last Name:JONES
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 1:913 QUINCY ST APT 202
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33815-1341
Mailing Address - Country:US
Mailing Address - Phone:863-602-9403
Mailing Address - Fax:
Practice Address - Street 1:913 QUINCY ST APT 202
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33815-1341
Practice Address - Country:US
Practice Address - Phone:863-602-9403
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-16
Last Update Date:2012-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist