Individual
MONE BLACKBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1225 W 190TH ST STE 103, GARDENA, CA 90248-4315
(310) 819-8680
Mailing address
4615 ORCHARD AVE, LOS ANGELES, CA 90037-3021
(323) 369-9367
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
24513
CA
Other
Enumeration date
01/23/2023
Last updated
01/23/2023
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