Individual
MRS. RENEA SUE OSBORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
100 KANAWHA BLVD W, CHARLESTON, WV 25302-2300
(304) 346-9667
Mailing address
882 HORSE FORK RD, WALLBACK, WV 25285-9532
(304) 932-5440
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
002269
WV
Other
Enumeration date
06/22/2023
Last updated
06/22/2023
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