Provider Demographics
NPI:1952875445
Name:BLASZKIEWICZ, IRENA ZDABLASZ (OTR/L, OTD)
Entity Type:Individual
Prefix:MRS
First Name:IRENA
Middle Name:ZDABLASZ
Last Name:BLASZKIEWICZ
Suffix:
Gender:F
Credentials:OTR/L, OTD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1204 COLLINGWOOD RD
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22308-1728
Mailing Address - Country:US
Mailing Address - Phone:703-966-1440
Mailing Address - Fax:
Practice Address - Street 1:1204 COLLINGWOOD RD
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22308-1728
Practice Address - Country:US
Practice Address - Phone:703-966-1440
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-17
Last Update Date:2019-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist