Individual
KATHLEEN DIANE OSBORNE-DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
5924 HAGERSTOWN DR, BATON ROUGE, LA 70817-3913
(225) 751-4592
(225) 755-3291
Mailing address
5924 HAGERSTOWN DR, BATON ROUGE, LA 70817-3913
(225) 751-4592
(225) 755-3291
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
812250
ATHLETIC TRAINER
LA
Enumeration date
01/08/2013
Last updated
01/08/2013
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