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NPI Code Detail

MEDICARE: MRS. AMANDA OSBORNE DPT

MEDICARE: MRS. AMANDA OSBORNE DPT
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 TherapistPT020508OH

General Provider Information

NPI Number : 1851073894
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. AMANDA OSBORNE DPT
Provider Business Mailing Address
First Line : 2110 LAKE GLEN CT APT D
Second Line :
City : CENTERVILLE
State : OH
Zip : 45459-4846
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6438 WILMINGTON PIKE STE 230
Second Line :
City : DAYTON
State : OH
Zip : 45459-7021
Country : US
Telephone Number : 937-558-3810
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2023
Last Update Date : 08/01/2023

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Directions to “ MRS. AMANDA OSBORNE DPT” Practice Location

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