HERAUF, KEVIN WILLIAM - Licensee Information

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HERAUF, KEVIN WILLIAM

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:	CENTER FOR PHYSICAL THERAPY AND HAND REHABILITATIO 10512 N. 116TH E. AVE SUITE 150 OWASSO OK 74055 Address last updated on 10/19/2007
Phone #:	(918) 609-1300
Fax #:
County:	TULSA
License:	1359
Dated:	5/19/2004
Expires:	10/31/2008
Temp. Ltr. Issued:	3/5/2004
Temp. Ltr. Expires:	5/27/2004
License Type:	Occupational Therapist
Specialty:	Hand Rehabilitation (OT/OA only) Acute Care (OT/OA only)

Status:	Inactive
Status Class:	Expired License
Restricted to:
CME Year:	2008

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:
CENTER FOR PHYSICAL THERAPY AND HAND REHABILITATIO 10512 N. 116TH E. AVE SUITE 150 OWASSO OK 74055 Phone #: (918) 609-1300 Fax #:

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