Individual
JOCELYN MARIE OSBORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
237 E MAIN ST, TWIN LAKES, WI 53181-9681
(262) 877-4884
(262) 877-4629
Mailing address
3915 30TH AVE, KENOSHA, WI 53144-1957
(262) 657-0222
(262) 657-7190
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070.013399
IL
225100000X
Physical Therapist
Primary
9729-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
859400062
MEDICARE
WI
Enumeration date
04/03/2007
Last updated
06/24/2011
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