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Richard Blackburn
Rehabilitation Practitioner in Santa Monica, California
NPI 1619227162

Richard Blackburn is a Rehabilitation Practitioner based in Santa Monica, CA. Richard Blackburn practices in Santa Monica, CA. The NPI Number for Richard Blackburn is 1619227162 and holds a License No. (California).

The current practice location address for Richard Blackburn is 1328 2Nd St, Santa Monica, CA and can be reached out via phone at 310-576-1308 and via fax at 310-576-1027. You can also correspond with Richard Blackburn through the mailing address at 1328 2ND ST, SANTA MONICA, CA - 90401-1122 (mailing address contact number: 310-576-1308).

Location: 1328 2Nd St, Santa Monica, CA, 90401-1122
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619227162
Provider Name
Richard Blackburn
Credential
Provider Entity Type
Individual
Gender
Male
Address
1328 2Nd St, Santa Monica, CA, 90401-1122
Phone Number
310-576-1308
Fax Number
310-576-1027
Provider Enumeration Date
09/12/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1328 2Nd St
City
Santa Monica
State
California
Zip
90401-1122
Phone Number
310-576-1308
Fax Number
310-576-1027
person
Provider Business Mailing Address Details
Address
1328 2Nd St
City
Santa Monica
State
California
Zip
90401-1122
Phone Number
310-576-1308
Fax Number
310-576-1027
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Rehabilitation Practitioner
Speciality
-
Taxonomy
225400000X
License No.
()
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
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