MARRUJO, JOHN VINCENT - Licensee Information

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
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MARRUJO, JOHN VINCENT

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:	PHYSICAL THERAPY CENTRAL 8006 39TH EXPRESSWAY BETHANY OK 73008 Address last updated on 12/29/2023
Phone #:	(405) 603-5222
Fax #:	(405) 603-5557
County:	OKLAHOMA
License:	1028
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:

Date

Action

Reasons

Remarks

2/1/1991

Reprimand

Board Filings and/or Orders:
02/01/1991

All information below is entered by the licensee but not verified by the Oklahoma Medical Board.

Locations:	Hours:	Languages:
PHYSICAL THERAPY CENTRAL 8006 39TH EXPRESSWAY BETHANY OK 73008 Phone #: (405) 603-5222 Fax #: (405) 603-5557

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisees(s):
KASSIDY DIANE HARDEE	TA	2575

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