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Organization
OPTIMUM PEDIATRIC THERAPY, LLC
Active
Organization
OPTIMUM PEDIATRIC THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON BRICE REED MS,CCC-SLP (OWNER)
(601) 597-0394
Entity
Organization
Contact information
Practice address
116 PARKVIEW DR, NATCHEZ, MS 39120-9232
(601) 597-0394
Mailing address
116 PARKVIEW DR, NATCHEZ, MS 39120-9232
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/26/2012
Last updated
06/26/2012
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