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NPI Code Detail

MEDICARE: DR. ALLIE REBECCA OSBORN PT

MEDICARE: DR. ALLIE REBECCA OSBORN PT
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
1225100000XPhysical Therapist304061CA

General Provider Information

NPI Number : 1326738311
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALLIE REBECCA OSBORN PT
Provider Business Mailing Address
First Line : 713 MISSION AVE STE B
Second Line :
City : OCEANSIDE
State : CA
Zip : 92054-2852
Country : US
Telephone Number : 760-453-7072
Fax Number : 844-269-6815
Provider Business Practice Location Address
First Line : 713 MISSION AVE STE B
Second Line :
City : OCEANSIDE
State : CA
Zip : 92054-2852
Country : US
Telephone Number : 760-453-7072
Fax Number : 844-269-6815
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2023
Last Update Date : 05/11/2023

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Directions to “ DR. ALLIE REBECCA OSBORN PT” Practice Location

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