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Mone Blackburn, OTR/L

Occupational Therapist, Pediatrics in Gardena, CA. Individual provider (NPI-1).

NPI number1285349381
StatusActive
Last updated in NPPESJan 23, 2023

Details

NPI
1285349381
Entity type
Individual (NPI-1)
Name
Mone Blackburn
Credential
OTR/L
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 23, 2023
Certification date
Jan 23, 2023
Last updated
Jan 23, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225XP0200X Occupational Therapist, Pediatrics24513CAYes

Practice location

1225 W 190th St Ste 103
Gardena, CA 90248-4315

Phone 310-819-8680

Mailing address

4615 Orchard Ave
Los Angeles, CA 90037-3021

Phone 323-369-9367

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