MRS. Tiffany Blasa, PT

NPI #1538347810 in Salem, Illinois

Provider Information

NPI Number: 1538347810
Entity Type: Individual
Name: MRS. Tiffany Blasa, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Community Health Worker
Credential: PT
Enumeration Date: Feb 8, 2008
Last Updated: Feb 8, 2008

Practice Location

Address: 1201 RICKER RD
City: Salem
State: Illinois
ZIP Code: 62881-4263
Phone: (618) 548-3194

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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