Provider Demographics
NPI:1992946594
Name:JONES, CATHLEEN MARY (MS, PT, ATC)
Entity type:Individual
Prefix:
First Name:CATHLEEN
Middle Name:MARY
Last Name:JONES
Suffix:
Gender:F
Credentials:MS, PT, ATC
Other - Prefix:
Other - First Name:CATHLEEN
Other - Middle Name:M
Other - Last Name:BONAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, PT, ATC
Mailing Address - Street 1:2222 SULLIVAN TRL
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18040-7958
Mailing Address - Country:US
Mailing Address - Phone:800-944-9782
Mailing Address - Fax:610-438-2024
Practice Address - Street 1:14560 LAKESIDE CIR
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48313-1350
Practice Address - Country:US
Practice Address - Phone:586-532-9334
Practice Address - Fax:586-532-9334
Is Sole Proprietor?:No
Enumeration Date:2009-03-12
Last Update Date:2009-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501003433225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist