Organization
CYNTHIA OSBORN PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA JEAN OSBORN (PHYSICAL THERAPIST)
(248) 360-6866
Entity
Organization
Contact information
Practice address
1100 CORPORATE CENTER DR, SUITE 100, MILFORD, MI 48381
(248) 360-6866
(248) 360-6866
Mailing address
9516 ROUNDLAKE BLVD, WHITE LAKE, MI 48386-3969
(248) 360-6866
(248) 360-6866
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
5501002197
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
650F358050
BCBS
MI
01
—
MI3089
MEDICARE PTAN
MI
Enumeration date
08/30/2012
Last updated
08/30/2012
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