Individual
JAN OSBORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5500 E KELLOGG DR, WICHITA, KS 67218-1607
(316) 641-0770
Mailing address
5500 E KELLOGG DR, WICHITA, KS 67218-1607
(316) 641-0770
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-02802
KS
225100000X
Physical Therapist
1144053
TX
225100000X
Physical Therapist
PT013865L
PA
Other
Enumeration date
04/13/2018
Last updated
01/10/2019
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