Individual
MS. KELLY A OSBORN
Active
Individual
MS. KELLY A OSBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00006442
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0291100
DEPT. OF LABOR AND INDUSTRIES
WA
01
—
158113
DEPT OF L&I
WA
01
—
5342OB
REGENCE BS
WA
01
—
650023301
R/R MED PC
WA
05
—
8334062
—
WA
01
—
8936257
CRIME VICTIMS
WA
Enumeration date
08/18/2005
Last updated
07/14/2015
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