Loren Jones

Individual provider Active NPI Physical Therapy Assistant · Spencer, NC

NPI 1457748444 · NPPES record last updated Apr 17, 2015

Key facts

NPI
1457748444
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
5238 (NC)
Practice address
1404 S Salisbury Ave
Spencer, NC 28159-1921
Phone
(704) 633-3892
NPI assigned
Apr 17, 2015
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 5238 NC Yes

Addresses

Primary practice location

1404 S Salisbury Ave
Spencer, NC 28159-1921

Mailing address

937 Brannigan Village Dr
Winston Salem, NC 27127-4894

Other providers in Spencer, NC

All providers in Spencer, NC · Physical Therapy Assistant in North Carolina

Sources for this page

Verify at the official NPI Registry.