RICHARD BLACKBURN

SANTA MONICA, CA
NPI1619227162
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2012-09-12
Last Update Date2012-09-12
Business Address
RICHARD BLACKBURN
1328 2ND ST
SANTA MONICA, CA 90401-1122
Phone number: 310-576-1308
Mailing Address
RICHARD BLACKBURN
1328 2ND ST
SANTA MONICA, CA 90401-1122
Phone number: 310-576-1308