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Individual

BREE ANNA LABETH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
334 12TH AVE SE STE 130, NORMAN, OK 73071-5070
(405) 310-6590
Mailing address
7622 MCLAUGHLIN RD, PEYTON, CO 80831-4710
(719) 495-3133
(719) 495-8685

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6112
OK
225100000X
Physical Therapist
PTL.0015091
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PTL.0015091
COLORADO STATE PT LICENSE
CO
Enumeration date
09/08/2017
Last updated
07/21/2022
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