Individual
MRS. MELISSA BEATRICE FLOYSAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2705 ENLOE ST, HUDSON, WI 54016-8173
(715) 386-2128
(715) 386-6119
Mailing address
11325 INMAN AVE S, COTTAGE GROVE, MN 55016-4517
(651) 768-8837
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3009
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15665
HEALTH PARTNERS
—
01
—
3644123
AETNA
—
05
—
40879200
—
WI
01
—
6404898
MEDICA
—
01
—
641671046996
PREFERRED ONE
—
01
—
97G50FL
MN BCBS
MN
Enumeration date
09/16/2006
Last updated
07/09/2007
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