Individual
AMANDA RYAN OSBORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMS
Contact information
Practice address
103 2ND AVE, CHESAPEAKE, OH 45619-1134
(740) 451-1551
(740) 451-1554
Mailing address
447 TWSP 276 N, SOUTH POINT, OH 45680
(740) 744-9302
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OH
Other
Enumeration date
08/31/2017
Last updated
06/04/2019
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