Individual
JORDAN BREANN FAZIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8340 BLUFF SPRINGS RD UNIT 11008, AUSTIN, TX 78744-1342
(210) 219-8366
Mailing address
8340 BLUFF SPRINGS RD UNIT 11008, AUSTIN, TX 78744-1342
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
125605
TX
Other
Enumeration date
03/23/2026
Last updated
03/23/2026
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