DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BREANNA ROCHELLE EDENBOROUGH, PT

Active Sole Proprietor

BREANNA ROCHELLE EDENBOROUGH, PT is a Physical Therapy Assistant healthcare provider located in SHAWNEE, Oklahoma. NPI 1174262646 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · SHAWNEE, OK

Registration Details

NPI Number
1174262646
Provider Type
Individual
Gender
Female
NPI Issued
Jun 2, 2022 (4.1969920239055 yrs)
Last Updated
Jun 2, 2022
License
5327 (OK)
Sole Proprietor
Yes

Practice Information

Address
4651 N HARRISON ST
SHAWNEE, OK, 748041440
Browse OK providers · Browse ZIP 74804
Phone
4052141524
Fax
4053955653
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in SHAWNEE, OK

Name Credential NPI
LISA ANNE KNIGHT PT 1316999360
MELISSA MICHELLE KILLGORE P.T 1194772699
CRYSTAL DAWN BARGER P.T. 1588605000
ERIC MICHAEL QUINONES PT 1518981943
MRS. KATIE ANN LANDES PT 1285730978
KATHY A RIGBY PT 1992891733
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.