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NPI Code Detail

MEDICARE: MASSIE-OSBORNE THERAPHY SERVICES, INC.

MEDICARE: MASSIE-OSBORNE THERAPHY SERVICES, INC.
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
1261QP2000XPhysical Therapy Clinic/CenterPT16875FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1Y9306OTHERFLBCBS

General Provider Information

NPI Number : 1558675207
Entity Type Code : Organization
Provider Name (Legal Business Name) : MASSIE-OSBORNE THERAPHY SERVICES, INC.
Provider Business Mailing Address
First Line : 133 107TH AVE
Second Line :
City : TREASURE ISLAND
State : FL
Zip : 33706-4715
Country : US
Telephone Number : 727-360-6652
Fax Number : 727-363-4428
Provider Business Practice Location Address
First Line : 133 107TH AVE
Second Line :
City : TREASURE ISLAND
State : FL
Zip : 33706-4715
Country : US
Telephone Number : 727-360-6652
Fax Number : 727-363-4428
Authorized Official
Title or Position : PRESIDENT
Name : KELLIE S MASSIE-OSBORNE
Credential : MSPT
Telephone Number : 727-360-6652
Provider Enumeration Date : 08/04/2010
Last Update Date : 08/30/2010

Similar Medicare Providers

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1740599760 — MS. LOIS FRANCES LIPTAK RN, LCMT, CPT, CLP
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1447663992 — MARIANNE DU FNP
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