Individual
MISS CARLY LYNN OSBORNE I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,OTR/L
Contact information
Practice address
162-11 96TH STREET, HOWARD BEACH, NY 11414-3119
(718) 835-3123
Mailing address
159-39 91ST STREET, HOWARD BEACH, NY 11414-3119
(646) 872-9436
(718) 949-5242
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
010451-1
NY
Other
Enumeration date
10/31/2008
Last updated
10/31/2008
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