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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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