Individual
JACQUELYN DAWN FLOYD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 GATEWAY BLVD UNIT 309, GREENVILLE, SC 29607-5856
(864) 918-2711
(678) 840-2112
Mailing address
PO BOX 369, SIMPSONVILLE, SC 29681-0369
(864) 201-4301
(678) 840-2112
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
SC
Other
Enumeration date
07/08/2006
Last updated
07/08/2007
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