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Individual

JESSICA LYNN OSBORNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
22 CREE DR, LOCK HAVEN, PA 17745-2639
(570) 748-9377
Mailing address
128 VIEWPOINT RD, COGAN STATION, PA 17728-7803
(570) 560-3863

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP009284
PA

Other

Enumeration date
02/25/2018
Last updated
02/25/2018
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