Individual
MR. JOSHUA MICHAEL OSBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
411 CENTRAL METHODIST SQ, FAYETTE, MO 65248-1104
(166) 024-8339
Mailing address
2308 WHITEGATE DR, COLUMBIA, MO 65202-3634
(319) 572-6794
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2015027354
MO
Other
Enumeration date
08/03/2016
Last updated
08/03/2016
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