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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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BARTZ-BROUSSARD, JACOB THOMAS       
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: ADAMS PARC
6006 SE ADAMS BLVD
BARTLESVILLE OK 74006

Address last updated on 4/27/2020
Phone #:
Fax #:
County: WASHINGTON
License: 102701
Dated: 4/25/2020
Expires: 6/30/2021
License Type: Physical Therapist
Specialty:
Status: Inactive
Status Class: Licensed Under Compact
Verify current information on PT Compact site
Restricted to:
CME Year: 0
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:
ADAMS PARC
6006 SE ADAMS BLVD
BARTLESVILLE OK 74006

Phone #:
Fax #:

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