Provider Demographics
NPI:1336445774
Name:JONES, CASSANDRA AILEEN (MS OTR/L)
Entity type:Individual
Prefix:MRS
First Name:CASSANDRA
Middle Name:AILEEN
Last Name:JONES
Suffix:
Gender:F
Credentials:MS OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5825 STERLING CT
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30040-0582
Mailing Address - Country:US
Mailing Address - Phone:770-652-1931
Mailing Address - Fax:
Practice Address - Street 1:5825 STERLING CT
Practice Address - Street 2:
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30040-0582
Practice Address - Country:US
Practice Address - Phone:770-652-1931
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-02
Last Update Date:2011-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOT004450225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist