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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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WALLACE, SHAWN GREGGORY       
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: CUTTING EDGE PHYSICAL THERAPY
1805 COMMONS CIRCLE
STE 100B
YUKON OK 73099
Address last updated on 11/25/2024
Phone #: (405) 265-1628
Fax #: (405) 265-1929
County: OKLAHOMA
License: 1796
Dated: 10/5/1991
Expires: 1/31/2025
License Type: Physical Therapist
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
CME Year: 2024
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:
CUTTING EDGE PHYSICAL THERAPY
1805 COMMONS CIRCLE
STE 100B
YUKON OK 73099
Phone #: (405) 265-1628
Fax #: (405) 265-1929
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
LISA MARIEA GUNN TA 2379
JACOB THOMAS LIVELY TA 3262
PEDRO L RODRIGUEZ JR. TA 3380
PEDRO L RODRIGUEZ JR. TA 3380
REBECCA ANN SCHWARTZ TA 3374
MICHELLE LYNN SIGLER TA 308
MICHELLE LYNN SIGLER TA 308
ERIN ROCHELLE SKERO TA 475

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