Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. GORDON J. BLACKNELL
ActiveMR. GORDON J. BLACKNELL is a Occupational Therapy Assistant healthcare provider located in LOS ANGELES, California. NPI 1831229186 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · LOS ANGELES, CA
Registration Details
- NPI Number
- 1831229186
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 6, 2007 (19.454662812637 yrs)
- Last Updated
- Jul 8, 2007
Practice Information
- Address
-
12901 VENICE BLVDLOS ANGELES, CA, 900663509Browse CA providers · Browse ZIP 90066
- Phone
- 3103903611
- Fax
- 3103904906
- Primary Specialty
-
Occupational Therapy Assistant
225400000X
Other Occupational Therapy Assistant Providers in LOS ANGELES, CA
| Name | Credential | NPI |
|---|---|---|
| DR. KENNETH WILLIAM BODDIE | M.D. | 1225088230 |
| BOBBYBEE BLANQUEZ | — | 1932290285 |
| MELISSA MONROY | — | 1306938451 |
| MRS. SELENA PATRICE IVEY | RKT | 1750474284 |
| ROBERT BRODHEAD | — | 1013006188 |
| CYNTHIA JANE ISVECK-BOSCO | — | 1861573115 |
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.