Individual
JESSICA BOGRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
5831 BETHEL RD, SHAWNEE, OK 74804-0916
(972) 679-5874
Mailing address
1401 FAIRCLOUD CT, EDMOND, OK 73034-6557
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
—
—
Other
Enumeration date
05/06/2021
Last updated
03/20/2026
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