Individual
CYNTHIA JEAN OSBORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501002197
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
650F358050
BCBS PIN
MI
Enumeration date
06/29/2007
Last updated
08/19/2012
Update your record
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