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

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XNone 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.