Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Brianne Kristin Southwell

Individual provider Occupational Therapy Assistant · NPI 1376162552

Brianne Kristin Southwell is an Occupational Therapy Assistant in Tampa, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

4411 N Habana Ave
Tampa, FL 33614-7211
Phone: (813) 872-2771
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT24969 (FL)
Occupational Therapy Assistant Taxonomy 224Z00000X · Licence OTA17712 (FL)

Record details

NPI number1376162552
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 8, 2020
Last updated in NPPESFebruary 19, 2024
Certification dateFebruary 19, 2024

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