EDENBOROUGH, BREANNA ROCHELLE - Licensee Information

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Last Update: Sunday, May 5, 2024 4:03 AM CDT
Next Update: Sunday, May 5, 2024 12:00 PM CDT

EDENBOROUGH, BREANNA ROCHELLE

Practice Address:	4651 N HARRISION ST. SHAWNEE OK 74820 Address last updated on 1/2/2024
Phone #:
Fax #:
County:	POTTAWATOMIE
License:	5327
Dated:	7/27/2017
Expires:	1/31/2025
License Type:	Physical Therapist
Specialty:

Status:	Active
Status Class:	Fully Licensed
Restricted to:
CME Year:	2026

Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.

All information below is entered by the licensee but not verified by the Oklahoma Medical Board.

Locations:	Hours:	Languages:
4651 N HARRISION ST. SHAWNEE OK 74820 Phone #: Fax #:

Name:	Type:	License Number:
Primary Supervisees(s):
TYLER C BARTON	TA	3179
LYNETTE NICHELLE HOUSTON	TA	2041
SHYANNA DAWN SMITH	TA	3485
APRIL LYN TROXEL	TA	737
MEGAN KRISTINE WILKEY	TA	2899

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Oklahoma State Board of Medical Licensure and Supervision :: 101 NE 51st St, Oklahoma City, OK 73105-1821
Main Number: (405) 962-1400 :: Fax: (405) 962-1440 :: Complaints outside 405 area code: 1-800-381-4519
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