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Individual

MRS. AMY JEAN OSOWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
RIDE ON RANCH, 38416 MORRISONVILLE RD., LOVESTTVILLE, VA 20180
(703) 298-5319
Mailing address
12524 PHILMONT DR, HERNDON, VA 20170
(703) 399-0441

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306601471
VA
225200000X
Physical Therapy Assistant
PI60803824
WA

Other

Enumeration date
04/08/2020
Last updated
04/09/2020
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