WILLIAM RUSSELL BLAYLOCK

CARROLLTON, TX
NPI1104903020
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: TX  103091)
Enumeration Date2006-11-01
Last Update Date2007-10-29
Business Address
MR. WILLIAM RUSSELL BLAYLOCK OTR
1912 E HEBRON PKWY #104
CARROLLTON, TX 75007
Phone number: 972-492-0383
Mailing Address
MR. WILLIAM RUSSELL BLAYLOCK OTR
1803 PEACH TREE CT
ALLEN, TX 75002
Phone number: 972-492-0383
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