Individual
MRS. MALISSA ELAINE BLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
158 GROSS ST, MARIETTA, OH 45750-2031
(740) 374-1422
Mailing address
953 BRAUN RD, BELPRE, OH 45714-1332
(740) 516-6394
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
005033
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0002106000
—
WV
Enumeration date
03/02/2007
Last updated
07/30/2025
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