Phyllis Jordan

Occupational Therapy Assistant · Longview, TX

Individual Active NPI

NPI number 1750861498

Practice location

112 Ruthlynn Dr
Longview, TX 75605
Phone
(352) 382-1141

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NPI record

NPI
1750861498
Entity type
Individual (Type 1)
Enumeration date
August 21, 2018
Last updated
August 21, 2018
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Occupational Therapy Assistant Primary 224Z00000X 215297 TX

Mailing address

8477 S Suncoast Blvd
Homosassa, FL 34446-5028
Phone
(352) 382-1141

About Phyllis Jordan

Phyllis Jordan is a healthcare provider registered in the NPI registry with the primary taxonomy Occupational Therapy Assistant (code 224Z00000X). The practice location is 112 Ruthlynn Dr, Longview, TX 75605. The NPI number 1750861498 was assigned on August 21, 2018 and the record was last updated on August 21, 2018.

Phyllis Jordan lists a license in the registry: #215297 (TX) for Occupational Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Phyllis Jordan?

The NPI number is 1750861498.

What is the phone number of Phyllis Jordan?

The phone number listed for the practice location is (352) 382-1141.

Where is Phyllis Jordan located?

112 Ruthlynn Dr, Longview, TX 75605.

What is the taxonomy code for Phyllis Jordan?

The primary taxonomy code is 224Z00000X – Occupational Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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