Individual
BLAINE JOSEPH WIELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1335 STRASSNER DR, BRENTWOOD, MO 63144-1872
(423) 946-0934
Mailing address
1335 STRASSNER DR, BRENTWOOD, MO 63144-1872
(423) 946-0934
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1145530
TX
Other
Enumeration date
03/04/2025
Last updated
03/04/2025
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