| Elizabeth Ellen Blackstock, OTR/L | |
|
2061 Wright Ave Ste A7, La Verne, CA 91750-5813 | |
| (909) 519-8912 | |
| Not Available |
| Full Name | Elizabeth Ellen Blackstock |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 2061 Wright Ave Ste A7, La Verne, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528691623 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 20699 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Ellen Blackstock, OTR/L 2061 Wright Ave Ste A7, La Verne, CA 91750-5813 Ph: (909) 519-8912 | Elizabeth Ellen Blackstock, OTR/L 2061 Wright Ave Ste A7, La Verne, CA 91750-5813 Ph: (909) 519-8912 |
Jessica Cynthia Mogi, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2061 Wright Ave Ste A7, La Verne, CA 91750 Phone: 909-519-8912 | |
Mary Justina Hanna, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2061 Wright Ave Ste A7, La Verne, CA 91750 Phone: 909-802-0202 | |
Tracey Gail Uditsky, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1951 6th St, La Verne, CA 91750 Phone: 909-973-4365 Fax: 909-510-8196 | |
Casey Mamora, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2061 Wright Ave Ste A7, La Verne, CA 91750 Phone: 909-519-8912 | |
Laura C Miller, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2061 Wright Ave, La Verne, CA 91750 Phone: 909-519-8912 | |
Angela Gabriel, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2061 Wright Ave, La Verne, CA 91750 Phone: 909-519-8912 | |
Tony Chin, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2705 Mountain View Dr, La Verne, CA 91750 Phone: 909-392-4111 |