Individual
MS. ALICIA ANN BREUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
12899 E 76TH ST N, OWASSO, OK 74055-4021
(918) 272-1039
Mailing address
23601 S 433RD WEST AVE, DEPEW, OK 74028-2466
(918) 805-0480
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1355
OK
Other
Enumeration date
05/25/2016
Last updated
05/25/2016
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