Provider Demographics
NPI:1306660311
Name:OSEGUERA, BRANDI D (PHYSICAL THERAPIST A)
Entity type:Individual
Prefix:MRS
First Name:BRANDI
Middle Name:D
Last Name:OSEGUERA
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4328 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71913-7436
Mailing Address - Country:US
Mailing Address - Phone:501-525-5888
Mailing Address - Fax:
Practice Address - Street 1:4328 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71913-7436
Practice Address - Country:US
Practice Address - Phone:505-525-5888
Practice Address - Fax:501-525-5897
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-15
Last Update Date:2024-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPTA2350225200000X
AR2350225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant