Individual
LUCILLE OSBORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
765 HIGHWAY 466, LADY LAKE, FL 32159-6340
(352) 259-2522
Mailing address
2765 S BAY ST, EUSTIS, FL 32726-6501
(352) 589-5595
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
04/20/2022
Last updated
04/20/2022
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