Individual
TIFFANY FLOYD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CTRS, CDP
Contact information
Practice address
1500 E WOODROW WILSON AVE, JACKSON, MS 39216-5116
(601) 882-2877
Mailing address
PO BOX 612, PINE GROVE, LA 70453-0612
(225) 341-0857
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
41864
LA
Other
Enumeration date
07/06/2020
Last updated
07/06/2020
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