SearchIllinois224Z00000X

Malissa Blum, COTA

NPI 1881277077 · on the registry since 2021 · sole proprietor

Practice

Address
154 Oak Bluff Ter
Utica, IL 61373
Phone
(815) 830-3994

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Sex
Female
Record last updated
2021-05-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois