Provider Demographics
NPI:1235844291
Name:BRINZANOVA, CORINA (OCCUPATIONAL THERAPY)
Entity Type:Individual
Prefix:
First Name:CORINA
Middle Name:
Last Name:BRINZANOVA
Suffix:
Gender:F
Credentials:OCCUPATIONAL THERAPY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11816 SANDY HILL DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32821-7903
Mailing Address - Country:US
Mailing Address - Phone:407-450-5022
Mailing Address - Fax:
Practice Address - Street 1:11816 SANDY HILL DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32821-7903
Practice Address - Country:US
Practice Address - Phone:407-450-5022
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-13
Last Update Date:2023-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOTA18991224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant