Larry E Blackmon
Larry E Blackmon is a Rehabilitation Practitioner in Pasadena, California. Practices as a sole proprietor. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
330 S Oak Knoll Ave #210Pasadena, CA 91101-3419
Phone: (626) 577-1215
Fax: (626) 844-6765
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Specialties & licences
| Rehabilitation Practitioner (primary) | Taxonomy 225400000X |
|---|
Record details
| NPI number | 1407973910 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 22, 2007 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 330 S Oak Knoll Ave, 210, Pasadena, CA 91101-3419 |
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