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NPI Code Detail

MEDICARE: MRS. STEPHANIE CLAIRE FLOYD

MEDICARE: MRS. STEPHANIE CLAIRE FLOYD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist5408-26WI

General Provider Information

NPI Number : 1427488915
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. STEPHANIE CLAIRE FLOYD
Provider Business Mailing Address
First Line : 5700 MOCKINGBIRD LN
Second Line :
City : GREENDALE
State : WI
Zip : 53129-1442
Country : US
Telephone Number : 414-235-9170
Fax Number : 414-235-9417
Provider Business Practice Location Address
First Line : 5700 MOCKINGBIRD LN
Second Line :
City : GREENDALE
State : WI
Zip : 53129-1442
Country : US
Telephone Number : 414-235-9170
Fax Number : 414-235-9417
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/19/2013
Last Update Date : 04/01/2019

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