Individual
BENNETT NATHANIEL OSBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3618 MADACA LN, TAMPA, FL 33618-2057
(813) 978-9700
Mailing address
5901 E FOWLER AVE STE 100, TEMPLE TERRACE, FL 33617-2305
(813) 978-9700
(813) 558-6185
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTT40423
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTT40423
PHYSICAL THERAPIST LICENSE
FL
Enumeration date
05/02/2023
Last updated
04/08/2025
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