Individual
SHAUNA BROOKE OSBORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
702 PHILLIPS LN, CORBIN, KY 40701-2144
(606) 524-4287
Mailing address
702 PHILLIPS LN, CORBIN, KY 40701-2144
(606) 524-4287
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A02542
KY
Other
Enumeration date
11/06/2009
Last updated
11/06/2009
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