Individual
BRYONNA JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2681 LENGERS WAY, INDIAN LAND, SC 29707-4200
(803) 877-6408
Mailing address
1785 RESERVATION RD, ROCK HILL, SC 29730-9584
(803) 230-8402
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5600
SC
Other
Enumeration date
10/10/2023
Last updated
10/10/2023
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