PHYLLIS JORDAN

LONGVIEW, TX
NPI1750861498
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: TX  215297)
Enumeration Date2018-08-21
Last Update Date2018-08-21
Business Address
PHYLLIS JORDAN
112 RUTHLYNN DR
LONGVIEW, TX 75605
Phone number: 352-382-1141
Mailing Address
PHYLLIS JORDAN
8477 S SUNCOAST BLVD
HOMOSASSA, FL 34446-5028
Phone number: 352-382-1141
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