Gary Leon Blackburn in Chula Vista - Physical Therapist

Gary Leon Blackburn - NPI 1487769352

Gary Leon Blackburn is a Physical Therapist in Chula Vista, California. Gary Leon Blackburn practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Gary Leon Blackburn is 1487769352. The last update date is 2014-04-29.

Gary Leon Blackburn's current location address is 1055 Tierra Del Rey, Chula Vista, California. You can contact this provider via phone number 6196565102 and fax number 6196565143. The mailing address for Gary Leon Blackburn is 1055 Tierra Del Rey, Chula Vista, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Gary Leon Blackburn
Address 1055 Tierra Del Rey, Chula Vista, California
Phone Number 6196565102
Fax Number 6196565143
Sole Proprietor N
Credentials M.S.P.T.

NPI Number Detail

NPI Number 1487769352
Provider Enumeration Date 2006-08-20
Last Updated Date 2014-04-29

Provider Mailing Address Detail

Address 1055 Tierra Del Rey
City Chula Vista
State California (CA)
Post Code 919107875
Phone Number 6196565102
Fax Number 6196565143

Provider's Primary Taxonomy Detail

Speciality Physical Therapist
Taxonomy 225100000X
Licence No 28897
Definition:
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per

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FAQs about Gary Leon Blackburn

What is the unique identifier code issued to Gary Leon Blackburn by the Centers for Medicare & Medicaid Services (CMS)?

The Gary Leon Blackburn has been assigned the NPI (National Provider Identifier) 1487769352. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete street address where Gary Leon Blackburn is physically located?

The Gary Leon Blackburn is physically situated at the following address: 1055 Tierra Del Rey, Chula Vista, CA, 919107875.

What is the area of specialization for Gary Leon Blackburn, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Gary Leon Blackburn is Physical Therapist, and the corresponding taxonomy code that categorizes this area of expertise is 225100000X.

On what date did the Gary Leon Blackburn receive its 1487769352 assignment from the Centers for Medicare & Medicaid Services?

The Gary Leon Blackburn was assigned its 1487769352 by the Centers for Medicare & Medicaid Services on 2006-08-20.

As of what date were the details related to Gary Leon Blackburn most recently updated or revised?

The information pertaining to Gary Leon Blackburn, including its address, specialty, and other relevant details, was last updated or revised on 2014-04-29.

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