Organization
OPTIMUM OCCUPATIONAL THERAPY SERVICES, LLC
Active
Organization
OPTIMUM OCCUPATIONAL THERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SHIRLEY BLANTON MOT, OTR/L, SCLV (MEMBER-MANAGER, CEO)
(662) 455-0030
Entity
Organization
Contact information
Practice address
706 HIGHWAY 82 W, GREENWOOD, MS 38930-5028
(662) 455-0030
(662) 247-1489
Mailing address
PO BOX 573, BELZONI, MS 39038-0573
(662) 455-0030
(662) 247-1489
Taxonomy
Speciality
Code
Description
License number
State
225XL0004X
Low Vision Occupational Therapist
Primary
—
—
Other
Enumeration date
03/18/2018
Last updated
10/09/2022
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