HAYNES, DAVID EDWARD - 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

HAYNES, DAVID EDWARD

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:	ORTHO CENTRAL PHYSICAL THERAPY 2201 TRAE YOUNG DRIVE SUITE 105 NORMAN OK 73069 Address last updated on 11/27/2024
Phone #:	(405) 515-8080
Fax #:
County:	CLEVELAND
License:	2087
Dated:	11/20/1993
Expires:	1/31/2025
Temp. Ltr. Issued:	5/20/1993
Temp. Ltr. Expires:	11/20/1993
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:
ORTHO CENTRAL PHYSICAL THERAPY 2201 TRAE YOUNG DRIVE SUITE 105 NORMAN OK 73069 Phone #: (405) 515-8080 Fax #:

Name:	Type:	License Number:
Primary Supervisees(s):
DAPHNE HESTER	TA	1152
TATE RYAN ODAM	TA	3263
AMIEE PINKERTON	TA	2358

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