Individual
EMILY KATE OSBORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC,LAT
Contact information
Practice address
12800 N LAKE SHORE DR, MEQUON, WI 53097-2418
(262) 243-2682
Mailing address
12800 N LAKE SHORE DR, MEQUON, WI 53097-2418
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36002853A
IN
Other
Enumeration date
12/08/2014
Last updated
04/20/2021
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