Individual
HELEN LOUISE BLACKLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1410 14TH ST, PLANO, TX 75074-6302
(972) 424-0148
(972) 422-5275
Mailing address
1410 14TH ST, PLANO, TX 75074-6302
(972) 424-0148
(972) 422-5275
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
105159
TX
Other
Enumeration date
02/08/2012
Last updated
02/08/2012
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