NPI 1366672990

Molly Blaylock

Practitioner Occupational Therapy Assistant Winnsboro, LA

Practice location

Address: 804 Polk St, Winnsboro, LA 71295-2350
Phone: (318) 435-1550
Mailing address: 4109 Highway 98 W, Summit, MS 39666-9132

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence OTA200086 (LA)

Other Occupational Therapy Assistant providers in Louisiana →

Registry record

NPI: 1366672990
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Jul 2009
Record last updated: 16 Jul 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.