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Contact Information

MONE BLACKBURN, OTR/L
1225 W 190TH ST STE 103
GARDENA, CA90248-4315
 Phone: 310-819-8680
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

225XP0200X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for MONE BLACKBURN · (Female)

NPI Number 1285349381
Status Active
Credentials OTR/L (Occupational Therapist, Registered, Licensed)
Entity Individual
Enumeration date 01/23/2023
Last updated 01/23/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 24513
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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