Individual
MADISON MARIE OSBOURNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
703 E MAIN ST UNIT 1, LEBANON, KY 40033-8696
(270) 699-9503
(270) 699-3804
Mailing address
112 DELAWARE CT, BARDSTOWN, KY 40004-2349
(502) 373-7393
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
007720
KY
Other
Enumeration date
08/02/2019
Last updated
08/02/2019
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