Individual
MRS. JANET W BLAYLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, CHT
Contact information
Practice address
550 STANTON CHRISTIANA RD, SUITE 203, NEWARK, DE 19713-2198
(302) 691-5603
(302) 691-5623
Mailing address
1941 LIMESTONE RD, STE 101, WILMINGTON, DE 19808-5413
(302) 655-9494
(302) 691-1478
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
U10000043
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194800193
—
DE
01
—
2783018
HIGHMARK
DE
01
—
3767397000
IBC
DE
05
—
4586026
—
MD
01
—
AC44-0033
CAREFIRST
DE
01
—
P00885362
RAILROAD MEDICARE
DE
Enumeration date
10/26/2006
Last updated
10/23/2020
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