Individual
BREANNA REGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1470 NE 3RD ST, PRINEVILLE, OR 97754-2906
(541) 447-6846
(541) 447-1243
Mailing address
1650 LYNDON FARM CT STE 300, LOUISVILLE, KY 40223-5005
(726) 202-3039
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
65389
OR
Other
Enumeration date
08/08/2024
Last updated
08/23/2024
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