Bland, Bridgette Ann

Bland, Bridgette Ann is an sole proprietor health care provider with primary practice located at 5962 Libby Ln , Jackson MS 39211-3312. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Bland, Bridgette Ann can be contacted via phone (662) 417-8297.

Contact Information

Primary practice address
5962 Libby Ln Jackson MS 39211-3312
Phone: (662) 417-8297
Fax: (601) 206-9272
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT2031 Mississippi

Profile Details

NPI number 1467587071
LBN Legal business name Bland, Bridgette Ann
Credentials OTR/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 22nd, 2007
Last updated Mar 1st, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467587071 NPPES
Mississippi Other OT2031 DEPARTMENT OF HEATH

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