Individual provider · Type 1 NPI
Justin T. Blackburn
Rehabilitation Practitioner · North Hollywood, CA
NPI number
1528300035
Active
Practice location
12821 Victory Blvd
North Hollywood, CA 91606-3012
Fax (818) 760-9092
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Rehabilitation Practitioner Primary | 225400000X | None listed |
Rehabilitation Practitioner: 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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About NPI 1528300035
Justin T. Blackburn's National Provider Identifier is 1528300035, issued on Mar 22, 2013. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in North Hollywood, CA. The record was last updated on Mar 22, 2013.