Individual
MS. BRIDGETTE ANN BLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
5962 LIBBY LN, JACKSON, MS 39211-3312
(662) 417-8297
(601) 206-9272
Mailing address
5962 LIBBY LN, JACKSON, MS 39211-3312
(662) 417-8297
(601) 206-9272
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT2031
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT2031
DEPARTMENT OF HEATH
MS
Enumeration date
02/22/2007
Last updated
03/01/2017
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