Individual
RYAN JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14058 BEE CAVE PKWY, AUSTIN, TX 78738-7071
(512) 263-2544
Mailing address
14058 BEE CAVE PKWY, AUSTIN, TX 78738-7071
(512) 263-2544
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
216746
TX
Other
Enumeration date
06/24/2021
Last updated
06/24/2021
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