NPI 1053995985
Jessica Bogran, PTDPT
Practice location
- Address
- 5831 Bethel Rd, Shawnee, OK 74804-0916
- Phone
- (972) 679-5874
- Mailing address
- 1401 Faircloud CT, Edmond, OK 73034-6557
Registered specialties
Pediatric Physical Therapist
Primary
Registry record
- NPI
- 1053995985
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 6 May 2021
- Record last updated
- 20 Mar 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.