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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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HARTZELL, RANDALL WAYNE       
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: SUMNER SPECIALIZED PHYSICAL THERAPY
212 W. BIRCH AVE.
COLVILLE WA 99114

Address last updated on 1/2/2021
Phone #: (509) 684-5621
Fax #: (509) 684-7943
County: NOT OKLAHOMA
License: 1379
Dated: 10/10/1986
Expires: 1/31/2022
License Type: Physical Therapist
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 2022
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:
SUMNER SPECIALIZED PHYSICAL THERAPY
212 W. BIRCH AVE.
COLVILLE WA 99114

Phone #: (509) 684-5621
Fax #: (509) 684-7943

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