Provider Demographics
NPI:1942814884
Name:OSBOURN, BRIANNA ENID (MS, OTR/L)
Entity Type:Individual
Prefix:MISS
First Name:BRIANNA
Middle Name:ENID
Last Name:OSBOURN
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:275 SOUTH ST APT 19F
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10002-8807
Mailing Address - Country:US
Mailing Address - Phone:704-582-1378
Mailing Address - Fax:
Practice Address - Street 1:3555 223RD ST
Practice Address - Street 2:
Practice Address - City:BAYSIDE
Practice Address - State:NY
Practice Address - Zip Code:11361-2236
Practice Address - Country:US
Practice Address - Phone:718-428-5370
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-08
Last Update Date:2020-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY024596225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics