Provider Demographics
NPI:1982599809
Name:LLOYD, OLIVIA LORAYNE (OTR)
Entity type:Individual
Prefix:
First Name:OLIVIA
Middle Name:LORAYNE
Last Name:LLOYD
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:212 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SENATOBIA
Mailing Address - State:MS
Mailing Address - Zip Code:38668-2140
Mailing Address - Country:US
Mailing Address - Phone:662-292-1024
Mailing Address - Fax:662-796-4740
Practice Address - Street 1:212 E MAIN ST
Practice Address - Street 2:
Practice Address - City:SENATOBIA
Practice Address - State:MS
Practice Address - Zip Code:38668-2140
Practice Address - Country:US
Practice Address - Phone:662-292-1024
Practice Address - Fax:662-796-4740
Is Sole Proprietor?:No
Enumeration Date:2025-06-11
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSS5363225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist