Provider Demographics
NPI:1306986500
Name:JONES, JAQUITA BETH (OT)
Entity type:Individual
Prefix:
First Name:JAQUITA
Middle Name:BETH
Last Name:JONES
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:303 SAINT THOMAS AVE
Mailing Address - Street 2:
Mailing Address - City:KEY LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33037-4321
Mailing Address - Country:US
Mailing Address - Phone:305-453-3394
Mailing Address - Fax:
Practice Address - Street 1:92410 OVERSEAS HWY
Practice Address - Street 2:SUITE 6
Practice Address - City:TAVERNIER
Practice Address - State:FL
Practice Address - Zip Code:33070-2636
Practice Address - Country:US
Practice Address - Phone:305-852-8600
Practice Address - Fax:305-852-8300
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2010-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT8642225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist