Individual
KAITLIN OSBORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1 SHELDON GUILE BLVD, OWEGO, NY 13827
(740) 288-6782
Mailing address
63 SPENCER AVE, OWEGO, NY 13827-1414
(740) 288-6782
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
003784
NY
Other
Enumeration date
05/11/2018
Last updated
02/06/2019
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