| NPI | 1518366525 |
|---|---|
| Former Name | TABETHA JONES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NC 14241) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: OH OT.007563) |
| 225X00000X Occupational Therapist (Licence: KY 133803) | |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2026-08-26 |