| NPI | 1205215282 |
|---|---|
| Former Name | CALLIE CARDELLIA JONES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: AR OT2019-018) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2015-05-25 |
| Last Update Date | 2019-10-03 |