Individual
MICHAEL R OSBORNE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
503 S MAIN, SUITE 103, SAN ANTONIO, TX 78204-1207
(210) 723-6723
(210) 699-0005
Mailing address
PO BOX 690665, SAN ANTONIO, TX 78269-0665
(210) 723-6723
(210) 699-0005
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LMT 018858
TX
Other
Enumeration date
03/12/2009
Last updated
03/12/2009
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