Individual
MRS. SHANNON FLOYD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
116 LINEBERRY BLVD, MT JULIET, TN 37122-5517
(985) 898-2999
Mailing address
651 S MOUNT JULIET RD # 563, MOUNT JULIET, TN 37122-6319
(757) 969-2300
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
056009598
IL
225XP0200X
Pediatric Occupational Therapist
Primary
OT0000006230
TN
225XP0200X
Pediatric Occupational Therapist
OTT.200700
LA
Other
Enumeration date
01/17/2012
Last updated
03/18/2022
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