Calynn Blacklock
Occupational Therapist
908 N Reynolds Rd
Bryant
, Arkansas 72022-3034
Calynn Blacklock
Occupational Therapist
908 N Reynolds Rd
Bryant
, Arkansas 72022-3034
(479) 967-2322
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About
Features
Specialties
- Occupational Therapist
Languages spoken
- English
Location
First Address
- Calynn Blacklock
- Po Box 2109
- Russellville, AR
- Zip : 72811-2109
- Phone : (479) 967-2322
Second Address
- Calynn Blacklock
- 908 N Reynolds Rd
- Bryant, AR
- Zip : 72022-3034
- Phone : (501) 847-9711
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist |
National Provider Identifier
| NPI | 1003479569 |
|---|---|
| Provider Name | Calynn Blacklock |
| First Address | Russellville, AR 72811-2109 |
| Second Address | Bryant, AR 72022-3034 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/04/2019 |
| Last Update Date | 19/04/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.