Individual
NYIESHA K. BRENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
2635 13TH AVE S, SAINT PETERSBURG, FL 33712-2049
(727) 542-3901
Mailing address
2635 13TH AVE S, SAINT PETERSBURG, FL 33712-2049
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA14329
FL
Other
Enumeration date
02/04/2026
Last updated
02/04/2026
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