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Individual

PROF. LISA M OSBORNE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1119 E CHELTEN AVE, PHILADELPHIA, PA 19138-1821
(215) 298-8978
Mailing address
1119 E CHELTEN AVE, PHILADELPHIA, PA 19138-1821
(215) 298-8978

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
PA

Other

Enumeration date
08/22/2018
Last updated
08/22/2018
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