Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. WILLIAM RUSSELL BLAYLOCK, OTR
ActiveMR. WILLIAM RUSSELL BLAYLOCK, OTR is a Occupational Therapist healthcare provider located in CARROLLTON, Texas. NPI 1104903020 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · CARROLLTON, TX
Registration Details
- NPI Number
- 1104903020
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 1, 2006 (19.741863601259 yrs)
- Last Updated
- Oct 29, 2007
- License
-
103091 (TX)
Practice Information
- Address
-
1912 E HEBRON PKWY#104CARROLLTON, TX, 75007Browse TX providers · Browse ZIP 75007
- Phone
- 9724920383
- Fax
- 9724922074
- Primary Specialty
-
Occupational Therapist
225X00000X
Other Occupational Therapist Providers in CARROLLTON, TX
| Name | Credential | NPI |
|---|---|---|
| TARA RENEE GIESE | O.T. | 1730281239 |
| MRS. TRELLA KAY CAMPBELL | OTR | 1740313717 |
| MRS. LISA MARIE FORE | OTR, CEAS | 1386768133 |
| MRS. KETAKI H VANKAWALA | — | 1558481994 |
| MRS. KAREN QUINN VERVER | — | 1588835136 |
| MR. TIMOTHY SCOTT KEESE | OTR | 1821252677 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.