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NPI Code Detail

MEDICARE: ABBY L OSBORN

MEDICARE: ABBY L OSBORN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy AssistantPTA25440FL

General Provider Information

NPI Number : 1003380155
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABBY L OSBORN
Provider Business Mailing Address
First Line : 16207 RAMBLING VINE DR W
Second Line :
City : TAMPA
State : FL
Zip : 33624-1184
Country : US
Telephone Number : 641-670-0452
Fax Number :
Provider Business Practice Location Address
First Line : 15002 HUTCHISON RD
Second Line :
City : TAMPA
State : FL
Zip : 33625-5509
Country : US
Telephone Number : 813-960-1969
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2019
Last Update Date : 01/11/2019

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Directions to “ ABBY L OSBORN ” Practice Location

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