Individual
MRS. CAITLIN SMITH BLANSETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
104 SKYLINE DR, OXFORD, MS 38655-9781
(662) 523-4766
Mailing address
240 FOREST GLEN DR, OXFORD, MS 38655-6023
(662) 315-6216
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-3798
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2020
Last updated
07/15/2020
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