Provider Demographics
NPI:1942458245
Name:JONES, ANN LYDIA (OT)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:LYDIA
Last Name:JONES
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:RR 4 BOX 646
Mailing Address - Street 2:
Mailing Address - City:WEST PITTSTON
Mailing Address - State:PA
Mailing Address - Zip Code:18643-9321
Mailing Address - Country:US
Mailing Address - Phone:570-388-4094
Mailing Address - Fax:570-388-2104
Practice Address - Street 1:RR 4 BOX 646
Practice Address - Street 2:
Practice Address - City:WEST PITTSTON
Practice Address - State:PA
Practice Address - Zip Code:18643-9321
Practice Address - Country:US
Practice Address - Phone:570-388-4094
Practice Address - Fax:570-388-2104
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-29
Last Update Date:2008-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist