Healthcare Provider Details

I. General information

NPI: 1346137718
Provider Name (Legal Business Name): KAYLA CHRISTINE OSOWSKI OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/19/2025
Last Update Date: 06/19/2025
Certification Date: 06/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16102 N FLORIDA AVE
LUTZ FL
33549-6129
US

IV. Provider business mailing address

16102 N FLORIDA AVE
LUTZ FL
33549-6129
US

V. Phone/Fax

Practice location:
  • Phone: 813-873-1936
  • Fax: 813-873-8837
Mailing address:
  • Phone: 813-873-1936
  • Fax: 813-873-8837

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT26280
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: