person
Mr. Gordon J. Blacknell
Rehabilitation Practitioner in Los Angeles, California
NPI 1831229186

Gordon J. Blacknell is a Rehabilitation Practitioner based in Los Angeles, CA. Gordon J. Blacknell practices in Los Angeles, CA. The NPI Number for Gordon J. Blacknell is 1831229186 and holds a License No. (California).

The current practice location address for Gordon J. Blacknell is 12901 Venice Blvd, Los Angeles, CA and can be reached out via phone at 310-390-3611 and via fax at 310-390-4906.

Location: 12901 Venice Blvd, Los Angeles, CA, 90066-3509
person
Provider Profile Details
NPI Number
1831229186
Provider Name
Gordon J. Blacknell
Credential
Provider Entity Type
Individual
Gender
Male
Address
12901 Venice Blvd, Los Angeles, CA, 90066-3509
Phone Number
310-390-3611
Fax Number
310-390-4906
Provider Enumeration Date
03/06/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12901 Venice Blvd
City
State
Zip
90066-3509
Phone Number
310-390-3611
Fax Number
310-390-4906
person
Provider Business Mailing Address Details
Address
12901 Venice Blvd
City
State
Zip
90066-3509
Phone Number
310-390-3611
Fax Number
310-390-4906
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Rehabilitation Practitioner
Speciality
-
Taxonomy
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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