Provider Demographics
NPI:1609590678
Name:FLOOR, STEPHANIE LYNN
Entity Type:Individual
Prefix:MS
First Name:STEPHANIE
Middle Name:LYNN
Last Name:FLOOR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PMB 1222,
Mailing Address - Street 2:109 UNIVERSITY SQUARE
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16541
Mailing Address - Country:US
Mailing Address - Phone:845-648-0589
Mailing Address - Fax:
Practice Address - Street 1:PMB 1222,
Practice Address - Street 2:109 UNIVERSITY SQUARE
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16541
Practice Address - Country:US
Practice Address - Phone:845-648-0589
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-03
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer