Individual
MISS BRIANNA ENID OSBOURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
3555 223RD ST, BAYSIDE, NY 11361-2236
(718) 428-5370
Mailing address
275 SOUTH ST APT 19F, NEW YORK, NY 10002-8807
(704) 582-1378
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
024596
NY
Other
Enumeration date
09/08/2020
Last updated
09/08/2020
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