Individual
CHRISTINA MARIE BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFTI
Contact information
Practice address
14600 SHERMAN WAY, SUITE 100D, VAN NUYS, CA 91405-2283
(818) 374-6901
Mailing address
1914 N FAIRVIEW ST, BURBANK, CA 91505-1211
(818) 653-5266
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
02/03/2015
Last updated
02/03/2015
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