BLAINE JOSEPH WIELAND

BRENTWOOD, MO
NPI1376341594
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: TX  1145530)
Enumeration Date2025-03-04
Last Update Date2025-03-04
Business Address
BLAINE JOSEPH WIELAND PT
1335 STRASSNER DR
BRENTWOOD, MO 63144-1872
Phone number: 423-946-0934
Mailing Address
BLAINE JOSEPH WIELAND PT
1335 STRASSNER DR
BRENTWOOD, MO 63144-1872
Phone number: 423-946-0934