Provider Demographics
NPI:1013338318
Name:OSWALD, BRITTNEY ANN (MS, OTR/L)
Entity type:Individual
Prefix:
First Name:BRITTNEY
Middle Name:ANN
Last Name:OSWALD
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 1:86 COUNTY ROAD 751
Mailing Address - Street 2:
Mailing Address - City:ENTERPRISE
Mailing Address - State:AL
Mailing Address - Zip Code:36330-7912
Mailing Address - Country:US
Mailing Address - Phone:484-547-2815
Mailing Address - Fax:
Practice Address - Street 1:86 COUNTY ROAD 751
Practice Address - Street 2:
Practice Address - City:ENTERPRISE
Practice Address - State:AL
Practice Address - Zip Code:36330-7912
Practice Address - Country:US
Practice Address - Phone:484-547-2815
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-01-04
Last Update Date:2016-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOP007107224Z00000X
AL4324225X00000X
PAOC014648225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant