Individual
SHANNON MCCLURE OSBORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25919 GADING RD, HAYWARD, CA 94544-2725
(510) 782-8424
(510) 782-0199
Mailing address
3219 SAN CARVANTE WAY, UNION CITY, CA 94587-2722
(510) 861-3092
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 1129
CA
Other
Enumeration date
01/29/2015
Last updated
01/29/2015
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