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Individual

ZACHARY TAYLOR OSBORNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
15900 ROUTE 6, TROY, PA 16947-9308
(570) 297-4111
(570) 297-0421
Mailing address
110 MCINTYRE ST, BLOSSBURG, PA 16912-1114
(607) 731-6083

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TPTA000673
PA

Other

Enumeration date
10/18/2019
Last updated
10/18/2019
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