Individual
MRS. TAMMY TERESA OSBORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
446 MOUNT HOLLY AVE, LOUISVILLE, KY 40206-2125
(502) 897-1646
Mailing address
446 MOUNT HOLLY AVE, LOUISVILLE, KY 40206-2125
(502) 897-1646
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
356415
KY
Other
Enumeration date
11/24/2020
Last updated
11/24/2020
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