MR. William Russell Blaylock, OTR
NPI #1104903020 in Carrollton, Texas
Provider Information
- NPI Number
- 1104903020
- Entity Type
- Individual
- Name
- MR. William Russell Blaylock, OTR
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapist
- Credential
- OTR
- Enumeration Date
- Nov 1, 2006
- Last Updated
- Oct 29, 2007
Practice Location
- Address
- 1912 E HEBRON PKWY
- Address 2
- #104
- City
- Carrollton
- State
- Texas
- ZIP Code
- 75007
- Phone
- (972) 492-0383
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist |
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