Individual
JENNIFER JILL FLOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
530 BEECH ST, CHARLOTTE, MI 48813-1016
(517) 543-2940
Mailing address
4617 S GREEN GABLES DR, MASON, MI 48854-9809
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437171485
—
MI
Enumeration date
02/22/2018
Last updated
02/22/2018
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