Provider Demographics
NPI:1982602983
Name:JONES, CLARE MONICA (PT)
Entity Type:Individual
Prefix:MS
First Name:CLARE
Middle Name:MONICA
Last Name:JONES
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:306 36TH ST
Mailing Address - Street 2:SEHOME VILLAGE
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-6580
Mailing Address - Country:US
Mailing Address - Phone:360-647-0444
Mailing Address - Fax:360-650-1497
Practice Address - Street 1:306 36TH ST
Practice Address - Street 2:SEHOME VILLAGE
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-6580
Practice Address - Country:US
Practice Address - Phone:360-647-0444
Practice Address - Fax:360-650-1497
Is Sole Proprietor?:No
Enumeration Date:2005-07-13
Last Update Date:2008-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00009131225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0174586OtherLABOR AND INDUSTRIES
WA8372260Medicaid
WA8372260Medicaid
WA0174586OtherLABOR AND INDUSTRIES