Provider Demographics
NPI:1497361174
Name:OSBURN, KAREN V (CMT, LMT)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:V
Last Name:OSBURN
Suffix:
Gender:F
Credentials:CMT, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5160 DENNY AVE APT 22
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91601-4046
Mailing Address - Country:US
Mailing Address - Phone:310-995-4747
Mailing Address - Fax:
Practice Address - Street 1:5160 DENNY AVE APT 22
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91601-4046
Practice Address - Country:US
Practice Address - Phone:310-995-4747
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-18
Last Update Date:2020-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA26819225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist