=====================================================
General NPI Number Information
=====================================================
NPI Number | 1821246158
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | PATRICIA JANE FLOYD OTL, MS
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/28/2008
-----------------------------------------------------
Last Update Date | 05/16/2011
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 823 ROUTE 13
-----------------------------------------------------
City | CORTLAND
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 13045
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 607-758-8850
-----------------------------------------------------
Fax | 607-218-0201
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 701 LENOX AVE
-----------------------------------------------------
City | ONEIDA
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 13421
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 315-363-9281
-----------------------------------------------------
Fax | 315-363-9286
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225X00000X
-----------------------------------------------------
Taxonomy Name | Occupational Therapist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------