Individual
ANNA COLLEEN BLAZINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
115 JULIE LN, BRANDON, FL 33511-6403
(813) 575-2327
Mailing address
504 S KINGS AVE # 223, BRANDON, FL 33511-5922
(813) 575-2327
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT14487
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003400700
—
FL
Enumeration date
02/21/2011
Last updated
09/19/2025
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