Natalia Paige Blackman | San Diego, CA • PECOS Search

Natalia Paige Blackman

Specialist

Other Service Providers

3020 Childrens Way, San Diego, CA 92123-4223

(858) 966-5829 (858) 966-6829

PECOS Enrollment

Based on the most recent information from CMS, provider Natalia Paige Blackman does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1528406337
Provider Type
Individual
Full Name
Blackman, Natalia Paige
Credential
PT DPT PCS

Gender
Female
Sole Proprietor
No
Enumeration Date
6/13/2013
Last Updated
2/14/2018

Contact Information

Practice Location

3020 Childrens Way, San Diego, CA 92123-4223

Unlisted Fax

Mailing Location

3020 Childrens Way, San Diego, CA 92123-4223

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 174400000X Primary	Description Specialist Other Service Providers	License PT39607 California