IndividualActive
Bryonna Jordan
NPI 1023899564 · Occupational Therapy Assistant · Indian Land, SC
Provider details
- NPI number
- 1023899564
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 5600 (SC)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2681 Lengers Way
Indian Land, SC 29707-4200
Phone: (803) 877-6408
Approximate (ZIP-level) locationGet directions
Mailing address
1785 Reservation Rd
Rock Hill, SC 29730-9584
Registry dates
- Enumerated
- 2023-10-10
- Last updated
- 2023-10-10
- Certified
- 2023-10-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.