Individual
TIFFANY ANN BLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
300 CENTER AVE, WAYNESBURG, PA 15370-8243
(724) 852-2020
(724) 852-1451
Mailing address
300 CENTER AVE, WAYNESBURG, PA 15370-8243
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI004670
PA
Other
Enumeration date
04/01/2019
Last updated
04/01/2019
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