BREA R EDEN Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160009497

License Status

ACTIVE

Business

First Name

BREA

Middle

Last Name

EDEN

Business Name

BREA R EDEN

Original Issue Date

12/15/2021

Effective Date

09/29/2025

Expiration Date

09/30/2027

City

DECATUR

State

Zip

49045

Ever Disciplined

LastModifiedDate

09/29/2025