Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Malissa Rose Blum II, COTA

Individual provider Occupational Therapy Assistant · NPI 1881277077

Malissa Rose Blum II, COTA is an Occupational Therapy Assistant in Utica, Illinois. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
COTA — Certified Occupational Therapy Assistant
Delivers treatment under an occupational therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

154 Oak Bluff Ter
Utica, IL 61373-9509
Phone: (815) 830-3994
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X

Record details

NPI number1881277077
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA
Sole proprietorYes
NPI enumeratedMay 4, 2021
Last updated in NPPESMay 4, 2021
Certification dateMay 4, 2021