Individual
JACQUELINE FLOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
245 CAHABA VALLEY PKWY, SUITE 200, PELHAM, AL 35124-2216
(205) 942-6820
(205) 942-5627
Mailing address
17 BONNIE BLUE CIR, SYLACAUGA, AL 35150-4538
(256) 249-4188
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0931
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
515-31951
BLUE CROSS BLUE SHIELD
AL
Enumeration date
10/23/2006
Last updated
07/08/2007
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