Provider Demographics
NPI:1750115382
Name:FLOYD, ANFERNEE CHRISTOPHER (DPT)
Entity type:Individual
Prefix:DR
First Name:ANFERNEE
Middle Name:CHRISTOPHER
Last Name:FLOYD
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22901 CHENAL VALLEY DR APT I209
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72223-5307
Mailing Address - Country:US
Mailing Address - Phone:501-515-9704
Mailing Address - Fax:
Practice Address - Street 1:2600 W MARKHAM ST
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-5925
Practice Address - Country:US
Practice Address - Phone:501-296-1810
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-27
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR53162251P0200X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics