ELIZABETH ELLEN BLACKSTOCK

LA VERNE, CA
NPI1528691623
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: CA  20699)
Enumeration Date2020-02-17
Last Update Date2020-02-17
Business Address
ELIZABETH ELLEN BLACKSTOCK OTR/L
2061 WRIGHT AVE STE A7
LA VERNE, CA 91750-5813
Phone number: 909-519-8912
Mailing Address
ELIZABETH ELLEN BLACKSTOCK OTR/L
2061 WRIGHT AVE STE A7
LA VERNE, CA 91750-5813
Phone number: 909-519-8912