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Oklahoma Board of Medical Licensure and Supervision

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HUFF, LARRY MATTHEW       
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: NORTHERN THERAPY & REHAB
2005 N 14TH
PONCA CITY OK 74602

Address last updated on 8/14/2003
Phone #: (580) 765-8240
Fax #:
County: KAY
License: 328
Dated: 9/19/2002
Expires: 8/31/2007
Temp. Ltr. Issued: 8/23/2002
Temp. Ltr. Expires: 9/21/2002
License Type: Athletic Trainer
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year:
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:
NORTHERN THERAPY & REHAB
2005 N 14TH
PONCA CITY OK 74602

Phone #: (580) 765-8240
Fax #:

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