MOLLY BLAYLOCK

WINNSBORO, LA
NPI1366672990
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: LA  OTA200086)
Enumeration Date2009-07-16
Last Update Date2009-07-16
Business Address
-- MOLLY BLAYLOCK
804 POLK ST
WINNSBORO, LA 71295-2350
Phone number: 318-435-1550
Mailing Address
-- MOLLY BLAYLOCK
4109 HIGHWAY 98 W
SUMMIT, MS 39666-9132
Phone number:
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