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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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BREASHEARS, CAILI RENEE       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: 13819 QUAIL POINTE DRIVE
OKLAHOMA CITY OK 73134

Address last updated on 12/16/2024
Phone #: (405) 467-6782
Fax #:
County: OKLAHOMA
License: 6156
Dated: 6/8/2022
Expires: 1/31/2025
License Type: Physical Therapist
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
CME Year: 2026
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Locations: Hours: Languages:
13819 QUAIL POINTE DRIVE
OKLAHOMA CITY OK 73134

Phone #: (405) 467-6782
Fax #:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
AMANDA NICOLE BOWENS TA 1823
RANDI BRIANN CAMPBELL TA 3260
RANDI BRIANN CAMPBELL TA 3260
JESSICA JEAN HASKINS TA 1785
KEELY PAIGE LOVELACE TA 3565

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