BETTY A BLACKMON

RIDGELAND, MS
NPI1952457012
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: MS  OT1628)
Enumeration Date2007-01-25
Last Update Date2007-07-08
Business Address
-- BETTY A BLACKMON OTR-L
711 AVIGNON DR
RIDGELAND, MS 39157-5120
Phone number: 601-605-6777
Mailing Address
-- BETTY A BLACKMON OTR-L
315 VIKING DR
COLUMBUS, MS 39702-8390
Phone number: 662-327-1252
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