Individual
MS. THERESA ELAINE FLOYD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3174 SE LAKESHORE DR, MACY, IN 46951-8563
(765) 480-7318
Mailing address
3174 SE LAKESHORE DR, MACY, IN 46951-8563
(765) 480-7318
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32001542A
IN
Other
Enumeration date
03/28/2017
Last updated
03/28/2017
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