SHIRLEY BLANTON

GREENWOOD, MS
NPI1225531486
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225XL0004X Occupational Therapist Low Vision
(Licence: MS  OT1121)
Additional Taxonomies225X00000X Occupational Therapist
(Licence: MS  OT1121)
225XN1300X Occupational Therapist Neurorehabilitation
(Licence: MS  OT1121)
Enumeration Date2018-03-14
Last Update Date2022-10-09
Business Address
MISS SHIRLEY BLANTON MOT, OTR/L, SCLV
706 HIGHWAY 82 W
GREENWOOD, MS 38930-5028
Phone number: 662-455-0030
Mailing Address
MISS SHIRLEY BLANTON MOT, OTR/L, SCLV
PO BOX 573
BELZONI, MS 39038-0573
Phone number: 662-455-0030