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

MR. JUSTIN T BLACKBURN

Active Sole Proprietor

MR. JUSTIN T BLACKBURN is a Occupational Therapy Assistant healthcare provider located in NORTH HOLLYWOOD, California. NPI 1528300035 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · NORTH HOLLYWOOD, CA

Registration Details

NPI Number
1528300035
Provider Type
Individual
Gender
Male
NPI Issued
Mar 22, 2013 (13.403109585181 yrs)
Last Updated
Mar 22, 2013
Sole Proprietor
Yes

Practice Information

Address
12821 VICTORY BLVD
NORTH HOLLYWOOD, CA, 916063012
Browse CA providers · Browse ZIP 91606
Phone
8184325025
Fax
8187609092
Primary Specialty
Occupational Therapy Assistant
225400000X

Other Occupational Therapy Assistant Providers in NORTH HOLLYWOOD, CA

Name Credential NPI
AMANDA KANARIK 1538290275
ANTHONY GONZALEZ 1760507347
MISS AUTUMN NICOLE GAUNA 1003077694
MISS MAGALY GISELLA RAMOS MSW 1780832501
ANGELA ANNETTE GUSTAVE-MORGAN 1194964684
CARMEN RUSSELL 1669700860
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.