William Russell Blaylock, OTR Valid NPI

Individual provider · Occupational Therapist · Carrollton, TX

NPI

1104903020

Type

Individual (Type 1)

Primary specialty

Occupational Therapist

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225X00000X

License number

103091 (TX)

Sex

Male

Sole proprietor

No

Enumerated

2006-11-01

Last updated

2007-10-29