Provider Demographics
NPI:1346996360
Name:KOSEL, BRIANNA RAE (MOTR/L)
Entity Type:Individual
Prefix:
First Name:BRIANNA
Middle Name:RAE
Last Name:KOSEL
Suffix:
Gender:F
Credentials:MOTR/L
Other - Prefix:
Other - First Name:BRIANNA
Other - Middle Name:
Other - Last Name:SAFRANSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MOTR/L
Mailing Address - Street 1:2512 S WASHINGTON ST STE C
Mailing Address - Street 2:
Mailing Address - City:GRAND FORKS
Mailing Address - State:ND
Mailing Address - Zip Code:58201-6772
Mailing Address - Country:US
Mailing Address - Phone:701-330-4818
Mailing Address - Fax:701-335-7242
Practice Address - Street 1:2512 S WASHINGTON ST STE C
Practice Address - Street 2:
Practice Address - City:GRAND FORKS
Practice Address - State:ND
Practice Address - Zip Code:58201-6772
Practice Address - Country:US
Practice Address - Phone:701-330-4818
Practice Address - Fax:701-335-7242
Is Sole Proprietor?:No
Enumeration Date:2022-02-28
Last Update Date:2022-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist