Individual
MRS. TARA OSBORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 STIBNITE AVE UNIT 1, MCCALL, ID 83638-4407
(800) 588-2539
(208) 329-5807
Mailing address
13762 NISULA RD, MCCALL, ID 83638-5072
(208) 794-6869
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2551
ID
Other
Enumeration date
04/18/2011
Last updated
02/11/2025
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