| NPI | 1306063904 |
|---|---|
| Former Name | SHAY DANIELLE OSBORNE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1205238) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OK 3126) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2011-10-25 |