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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. GARY LEON BLACKBURN, M.S.P.T.

Active

MR. GARY LEON BLACKBURN, M.S.P.T. is a Physical Therapy Assistant healthcare provider located in CHULA VISTA, California. NPI 1487769352 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · CHULA VISTA, CA

Registration Details

NPI Number
1487769352
Provider Type
Individual
Gender
Male
NPI Issued
Aug 20, 2006 (19.941711787104 yrs)
Last Updated
Apr 29, 2014
License
28897 (CA)

Practice Information

Address
1055 TIERRA DEL REY
SUITE C
CHULA VISTA, CA, 919107875
Browse CA providers · Browse ZIP 91910
Phone
6196565102
Fax
6196565143
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in CHULA VISTA, CA

Name Credential NPI
MRS. VERA RAKIC DPT 1396749644
NATASHA LAO HOM PT 1902881089
MRS. TIFFANY M TAYLOR PT 1225013162
JOSEPH EDWARD BAILEY PT 1013992866
DR. LAURA J LYNN I PT, DPT 1225086481
KRISTEN T DOMINGO PT 1720036502
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.