Individual
MATTHEW JAMES OSBORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
100 COUNTY ROAD B, SHAWANO, WI 54166-7072
(715) 526-7370
(999) 999-9999
Mailing address
122 E COLLEGE AVE, APPLETON, WI 54911-5794
(920) 996-3264
(920) 830-5970
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14680
WI
Other
Enumeration date
07/03/2019
Last updated
07/03/2019
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