Individual
MADISON OSBOURNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 BRANDONSHIRE CT, GREENSBORO, NC 27409-9135
(812) 774-6235
Mailing address
1500 BRANDONSHIRE CT, GREENSBORO, NC 27409-9135
(812) 774-6235
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/11/2018
Last updated
06/11/2018
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