Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 224Z00000X | Occupational Therapy Assistant | OP007107 | PA |
Y | 225X00000X | Occupational Therapist | 4324 | AL |
N | 225X00000X | Occupational Therapist | OC014648 | PA |
NPI | 1013338318 |
---|---|
Provider Name | Brittney Ann Oswald |
First Address | Enterprise, AL 36330-7912 |
Second Address | Enterprise, AL 36330-7912 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/01/2014 |
Last Update Date | 28/09/2016 |