Provider Demographics
NPI:1538925227
Name:OSBORN, ABIGAIL JO (OTR/L)
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:JO
Last Name:OSBORN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:49 DOTSON LN
Mailing Address - Street 2:
Mailing Address - City:SOUTH SHORE
Mailing Address - State:KY
Mailing Address - Zip Code:41175-7877
Mailing Address - Country:US
Mailing Address - Phone:174-035-2893
Mailing Address - Fax:
Practice Address - Street 1:49 DOTSON LN
Practice Address - Street 2:
Practice Address - City:SOUTH SHORE
Practice Address - State:KY
Practice Address - Zip Code:41175-7877
Practice Address - Country:US
Practice Address - Phone:740-352-8939
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-21
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist