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CHARBONEAU, DAN GENE       
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: THERAPY IN MOTION
511 N. MONTE VISTA
ADA OK 74820

Address last updated on 1/11/2022
Phone #: (580) 436-3633
Fax #: (580) 436-2977
County: PONTOTOC
License: 2218
Dated: 8/18/1994
Expires: 1/31/2022
Temp. Ltr. Issued: 6/9/1994
Temp. Ltr. Expires: 7/23/1994
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:
THERAPY IN MOTION
511 N. MONTE VISTA
ADA OK 74820

Phone #: (580) 436-3633
Fax #: (580) 436-2977

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