Provider Demographics
NPI:1700695343
Name:JONES, DONALD LEONARD JR (COTA/L)
Entity type:Individual
Prefix:MR
First Name:DONALD
Middle Name:LEONARD
Last Name:JONES
Suffix:JR
Gender:M
Credentials:COTA/L
Other - Prefix:
Other - First Name:DONALD
Other - Middle Name:LEONARD
Other - Last Name:JONES
Other - Suffix:JR
Other - Last Name Type:Professional Name
Other - Credentials:COTA/L
Mailing Address - Street 1:4201 WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:MCKEESPORT
Mailing Address - State:PA
Mailing Address - Zip Code:15132-7300
Mailing Address - Country:US
Mailing Address - Phone:412-664-4488
Mailing Address - Fax:
Practice Address - Street 1:4201 WALNUT ST
Practice Address - Street 2:
Practice Address - City:MCKEESPORT
Practice Address - State:PA
Practice Address - Zip Code:15132-7300
Practice Address - Country:US
Practice Address - Phone:412-664-4488
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-07
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOP006079224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant