Individual
KRYSTAL OSBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
250 PANTOPS MOUNTAIN RD, REHABILITATION DEPARTMENT, CHARLOTTESVILLE, VA 22911-8686
(434) 972-3100
Mailing address
1214 SWAN LAKE DR, 203, CHARLOTTESVILLE, VA 22902-7265
(740) 856-9012
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202007947
VA
Other
Enumeration date
08/10/2015
Last updated
08/10/2015
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