William Russell Blaylock in Allen - Occupational Therapist
William Russell Blaylock - NPI 1104903020
William Russell Blaylock is a Occupational Therapist in Allen, Texas. William Russell Blaylock practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for William Russell Blaylock is 1104903020. The last update date is 2007-10-29.
William Russell Blaylock's current location address is 1803 Peach Tree Ct, Allen, Texas. You can contact this provider via phone number 9724920383 and fax number 9724922074. The mailing address for William Russell Blaylock is 1803 Peach Tree Ct, Allen, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | William Russell Blaylock |
|---|---|
| Address | 1803 Peach Tree Ct, Allen, Texas |
| Phone Number | 9724920383 |
| Fax Number | 9724922074 |
| Sole Proprietor | N |
| Credentials | OTR |
NPI Number Detail
| NPI Number | 1104903020 |
|---|---|
| Provider Enumeration Date | 2006-11-01 |
| Last Updated Date | 2007-10-29 |
Provider Mailing Address Detail
| Address | 1803 Peach Tree Ct |
|---|---|
| City | Allen |
| State | Texas (TX) |
| Post Code | 75002 |
| Phone Number | 9724920383 |
| Fax Number | 9724922074 |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
| Licence No | 103091 |
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Definition: 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 Federat |
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What is the unique 10-digit identification code issued to William Russell Blaylock by the Centers for Medicare & Medicaid Services?
The William Russell Blaylock has been assigned the NPI (National Provider Identifier) 1104903020 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of William Russell Blaylock?
The William Russell Blaylock is situated at 1803 Peach Tree Ct, in the city of Allen, state of TX, with the zip code 75002.
What is William Russell Blaylock's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The William Russell Blaylock's specialized field of practice is Occupational Therapist, and the corresponding taxonomy code that categorizes this area of specialization is 225X00000X.
On what date was the 1104903020 assigned to William Russell Blaylock?
The William Russell Blaylock was issued its 1104903020 on 2006-11-01, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to William Russell Blaylock most recently updated or revised?
The information pertaining to William Russell Blaylock, including its address, specialty, and other relevant details, was last updated or revised on 2007-10-29.
NPI Number: 1336142389
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