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1760150668 NPI number — BRIANNA KOWALSKY OTR/L

NPI Number: 1760150668
Health Care Provider/Practitioner: BRIANNA KOWALSKY OTR/L

Information about “1760150668” NPI (BRIANNA KOWALSKY OTR/L) exists in 1760150668 in HTML format HTML  |  1760150668 in plain Text format TXT  |  1760150668 in PDF (Portable Document Format) PDF  |  1760150668 in an XML format XML  formats.

NPI Number : 1760150668 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1760150668",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KOWALSKY",
    "FirstName": "BRIANNA",
    "MiddleName": null,
    "NamePrefix": "MISS",
    "NameSuffix": null,
    "Credential": "OTR/L",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "12401 OAK PARK BLVD NE APT 214",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BLAINE",
    "MailingAddressStateName": "MN",
    "MailingAddressPostalCode": "55434-7324",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "262-930-6071",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "535 HOSPITAL RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NEW RICHMOND",
    "PracticeLocationAddressStateName": "WI",
    "PracticeLocationAddressPostalCode": "54017-1449",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "715-243-2760",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/03/2021",
    "LastUpdateDate": "09/03/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "225X00000X",
          "TaxonomyName": "Occupational Therapist",
          "LicenseNumber": "106616",
          "LicenseNumberStateCode": "MN",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "225X00000X",
          "TaxonomyName": "Occupational Therapist",
          "LicenseNumber": "7071-26",
          "LicenseNumberStateCode": "WI",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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