Individual
JOHN MICHAEL OSIKA SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMBT
Contact information
Practice address
2006 S MAIN ST, SUITE 206, WAKE FOREST, NC 27587-9391
(919) 570-6556
(919) 570-6557
Mailing address
2006 S MAIN ST, SUITE 206, WAKE FOREST, NC 27587-9391
(919) 570-6556
(919) 570-6557
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3890
NC
Other
Enumeration date
05/04/2011
Last updated
05/04/2011
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