Individual
SHIRLEY JEAN BREEDLOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
49 E FOLEY ST, EUFAULA, OK 74432-3019
(918) 618-6874
(918) 618-6868
Mailing address
49 E FOLEY ST, PO BOX 937, EUFAULA, OK 74432-3019
(918) 618-6874
(918) 618-6868
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1093
OK
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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