Individual provider · Type 1 NPI

Gordon J. Blacknell

Rehabilitation Practitioner · Los Angeles, CA

NPI number 1831229186 Active

Practice location

12901 Venice Blvd
Los Angeles, CA 90066-3509

Call (310) 390-3611 Map

Fax (310) 390-4906

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 1831229186

Gordon J. Blacknell's National Provider Identifier is 1831229186, issued on Mar 6, 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 Jul 8, 2007.