Individual
JESSICA I OSGOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
90 SPRINGVIEW LN, SUITE B, SUMMERVILLE, SC 29485-8153
(843) 875-2959
(843) 875-2836
Mailing address
90 SPRINGVIEW LN, SUITE B, SUMMERVILLE, SC 29485-8153
(843) 875-2959
(843) 875-2836
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2362
SC
Other
Enumeration date
01/20/2010
Last updated
01/20/2010
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