Individual
AVERY BLANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
4201 SPRING VALLEY RD STE 600, DALLAS, TX 75244-1209
(866) 919-3240
Mailing address
1636 KILTARTAN DR, DALLAS, TX 75228-3746
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
121444
TX
Other
Enumeration date
03/21/2025
Last updated
03/21/2025
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