| Breland Health & Rehab Group Inc. | |
|
1320 Nw Homestead Dr, Ste E, Lawton, OK 73505-5243 | |
| (580) 353-6300 | |
| (580) 353-6319 |
| Full Name | Breland Health & Rehab Group Inc. |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1320 Nw Homestead Dr, Lawton, Oklahoma |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013036508 | NPI | - | NPPES |
| 1008356996A | Other | CRAIG MCBRIDE | |
| 376591 | Other | OK | OKLAHOMA MEDICARE |
| 100835690A | Medicaid | OK | |
| 167449101 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 640900000 (Texas) | Primary |
| 225100000X | Physical Therapist | OK2429 (Oklahoma) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Breland Health & Rehab Group Inc. 208 S Red River Expy, Ste E, Burkburnett, TX 76354-3752 Ph: (940) 569-3630 | Breland Health & Rehab Group Inc. 1320 Nw Homestead Dr, Ste E, Lawton, OK 73505-5243 Ph: (580) 353-6300 |
Anthony Joseph La Sorsa, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4417 W Gore Blvd, Suite 14, Lawton, OK 73505 Phone: 580-353-9399 Fax: 580-353-2624 | |
Ms. Donna Suzanne Willeford, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 916 Sw 38th St Ste C, Lawton, OK 73505 Phone: 580-599-0919 Fax: 580-599-0955 | |
Mrs. Tawny Jean Hinson, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 916 Sw 38th St, Suite C, Lawton, OK 73505 Phone: 580-353-1490 Fax: 580-250-2651 | |
Mrs. Angela Elaine Holder, P.T. PHYSICAL THERAP Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1618 Ne 31st St, Lawton, OK 73507 Phone: 405-747-4358 | |
Mrs. Aimee Priscilla Carter, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4623 Ne Columbia Ave, Lawton, OK 73507 Phone: 580-678-1620 | |
Hernan Emilio Sandoval, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3146 Nw Cache Rd Apt 210, Lawton, OK 73505 Phone: 580-678-2108 |