Individual provider · Type 1 NPI

William Russell Blaylock, OTR

Occupational Therapist · Carrollton, TX

NPI number 1104903020 Active

Practice location

1912 E Hebron Pkwy, #104
Carrollton, TX 75007

Call (972) 492-0383 Map

Fax (972) 492-2074

Mailing address

1803 Peach Tree Ct
Allen, TX 75002

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X103091 (TX)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1104903020

William Russell Blaylock, OTR's National Provider Identifier is 1104903020, issued on Nov 1, 2006. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Carrollton, TX. The record was last updated on Oct 29, 2007.