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MRS. BREANNA ROSE RICKEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
2200 RANDALLIA DR, FORT WAYNE, IN 46805-4638
(260) 373-2302
Mailing address
2200 RANDALLIA DR, FORT WAYNE, IN 46805-4638
(260) 373-2302

Taxonomy

Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
05015389A
IN

Other

Enumeration date
03/11/2026
Last updated
03/11/2026
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