Individual
CAILI RENEE BREASHEARS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
13819 QUAIL POINTE DR, OKLAHOMA CITY, OK 73134-1066
(405) 467-6782
Mailing address
10100 HEFNER VILLAGE TER, OKLAHOMA CITY, OK 73162-7728
(918) 671-2454
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6156
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6156
FSBPT
OK
Enumeration date
06/10/2022
Last updated
09/18/2024
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