Provider Demographics
NPI:1750728713
Name:JONES, DANIELLE JEFFELLO (OT/L)
Entity type:Individual
Prefix:MS
First Name:DANIELLE
Middle Name:JEFFELLO
Last Name:JONES
Suffix:
Gender:F
Credentials:OT/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4956 SABRA AVE
Mailing Address - Street 2:
Mailing Address - City:HUBER HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:45424-5345
Mailing Address - Country:US
Mailing Address - Phone:937-718-1511
Mailing Address - Fax:
Practice Address - Street 1:4956 SABRA AVE
Practice Address - Street 2:
Practice Address - City:HUBER HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:45424-5345
Practice Address - Country:US
Practice Address - Phone:937-718-1511
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-31
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY135605225X00000X
TX115094225X00000X
OHOT008384225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist