Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MALISSA ROSE BLUM II, COTA
Active Sole ProprietorMALISSA ROSE BLUM II, COTA is a Occupational Therapy Assistant healthcare provider located in UTICA, Illinois. NPI 1881277077 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · UTICA, IL
Registration Details
- NPI Number
- 1881277077
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 4, 2021 (5.1053294564266 yrs)
- Last Updated
- May 4, 2021
- Sole Proprietor
- Yes
Practice Information
- Address
-
154 OAK BLUFF TERUTICA, IL, 613739509Browse IL providers · Browse ZIP 61373
- Phone
- 8158303994
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.