Breanna Rochelle Edenborough, PT

NPI #1174262646 in Shawnee, Oklahoma

Provider Information

NPI Number: 1174262646
Entity Type: Individual
Name: Breanna Rochelle Edenborough, PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Jun 2, 2022
Last Updated: Jun 2, 2022

Practice Location

Address: 4651 N HARRISON ST
City: Shawnee
State: Oklahoma
ZIP Code: 74804-1440
Phone: (405) 214-1524

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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