Individual provider · Type 1 NPI

Burnett Eugene Ancrum I, CASE COORDINATOR

Rehabilitation Practitioner · Los Angeles, CA

NPI number 1629106562 Active

Practice location

340 N Madison Ave
Los Angeles, CA 90004-3504

Call (323) 644-2026 Map

Mailing address

1906 W 3rd St
Los Angeles, CA 90057-2304

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 1629106562

Burnett Eugene Ancrum I, CASE COORDINATOR's National Provider Identifier is 1629106562, issued on Mar 1, 2007. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Los Angeles, CA. The record was last updated on Sep 30, 2010.