TATARIAN, TERRY MOORE - 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

TATARIAN, TERRY MOORE

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 N 5300 N INDEPENDENCE OKLAHOMA CITY OK 73112-5550 Address last updated on 12/19/2023
Phone #:	(405) 945-4300
Fax #:
County:	OKLAHOMA
License:	1374
Dated:	9/6/1986
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 N 5300 N INDEPENDENCE OKLAHOMA CITY OK 73112-5550 Phone #: (405) 945-4300 Fax #:

Name:	Type:	License Number:
Primary Supervisees(s):
MILLICENT MARIE HALE	TA	3468
ALLISON CATHERINE HOLDGE	TA	2576
LESLIE HEIDI ROBERTS	TA	3050
CHERYL ANN SMITH	TA	307

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