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Matthew James Osborne, PT

Physical Therapist in Shawano, WI. Individual provider (NPI-1).

NPI number1164084760
StatusActive
Last updated in NPPESJul 3, 2019

Details

NPI
1164084760
Entity type
Individual (NPI-1)
Name
Matthew James Osborne
Credential
PT
Sex
Male
Sole proprietor
No
Enumeration date
Jul 3, 2019
Last updated
Jul 3, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist14680WIYes

Practice location

100 County Road B
Shawano, WI 54166-7072

Phone 715-526-7370 · Fax 999-999-9999

Mailing address

122 E College Ave
Appleton, WI 54911-5794

Phone 920-996-3264 · Fax 920-830-5970

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