Individual
JENNIFER OSVOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
411 CALUMET AVE NW, DE SMET, SD 57231-2114
(605) 860-3152
Mailing address
21504 428TH AVE, DE SMET, SD 57231-6901
(308) 830-1768
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2029
SD
Other
Enumeration date
02/26/2018
Last updated
03/22/2024
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