Healthcare Provider Details

I. General information

NPI: 1821246158
Provider Name (Legal Business Name): PATRICIA JANE FLOYD OTL, MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2008
Last Update Date: 05/16/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

823 ROUTE 13
CORTLAND NY
13045
US

IV. Provider business mailing address

701 LENOX AVE
ONEIDA NY
13421
US

V. Phone/Fax

Practice location:
  • Phone: 607-758-8850
  • Fax: 607-218-0201
Mailing address:
  • Phone: 315-363-9281
  • Fax: 315-363-9286

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: