Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Phyllis Jordan

Individual provider Occupational Therapy Assistant · NPI 1750861498

Phyllis Jordan is an Occupational Therapy Assistant in Longview, Texas. Licensed in Texas. Registered with an NPI since 2018.

Licensed in
TX
In the registry since
2018

Practice location Address checks out

112 Ruthlynn Dr
Longview, TX 75605
Phone: (352) 382-1141
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 215297 (TX)

Record details

NPI number1750861498
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 21, 2018
Last updated in NPPESAugust 21, 2018
Mailing address8477 S Suncoast Blvd, Homosassa, FL 34446-5028

Other providers in Longview