JACKSON, PAMELA RENEE' - Licensee Information

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

JACKSON, PAMELA 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:	INTEGRIS JIM THORPE REHAB 4100 S. DOUGLAS OKLAHOMA CITY OK 73109-3210 Address last updated on 7/19/2024
Phone #:	(405) 644-5182
Fax #:
County:	OKLAHOMA
License:	1023
Dated:	6/25/1982
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:
INTEGRIS JIM THORPE REHAB 4100 S. DOUGLAS OKLAHOMA CITY OK 73109-3210 Phone #: (405) 644-5182 Fax #:

Name:	Type:	License Number:
Primary Supervisees(s):
JEFF AUSTIN BARRETT	TA	1570
KAITLYN R GUNTER	TA	2753
LESLIE HEIDI ROBERTS	TA	3050
RAQUEL SAMANIEGO	TA	3815
DEBORAH KAY WILLIAMS	TA	2508

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