Individual
DONNA REGINA OSBORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
330 KENNESTONE HOSPITAL BLVD, HEALTHPLACE, MARIETTA, GA 30060-1121
(770) 793-7300
Mailing address
1632 WARSAW POINTE, MARIETTA, GA 30062-2078
(404) 735-5255
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT005157
GA
Other
Enumeration date
10/01/2013
Last updated
10/01/2013
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