DIMOND, KATHLEEN RAE - 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

DIMOND, KATHLEEN RAE

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:	OKC REHABILITATION, LLC 700 NW 7TH STREET OKLAHOMA CITY OK 73102 Address last updated on 12/5/2024
Phone #:	(405) 236-3131
Fax #:
County:	OKLAHOMA
License:	2406
Dated:	8/14/1995
Expires:	1/31/2025
Temp. Ltr. Issued:	6/1/1995
Temp. Ltr. Expires:	11/4/1995
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:
OKC REHABILITATION, LLC 700 NW 7TH STREET OKLAHOMA CITY OK 73102 Phone #: (405) 236-3131 Fax #:

Name:	Type:	License Number:
Primary Supervisees(s):
BRIAN LEE BARNUM	TA	1049
ADAM RAY BOYD	TA	1574
SHANE EUGENE FRANCIS CORROTTO	TA	206
NICHOLE LYNN GOALDEN	TA	3659
REAGAN THOMAS HALL	TA	3777
JOHN MICHAEL HAMMON	TA	1148
BRADYN CHASE KOEHLER	TA	3265
JOSHINA PHILIPOSE	TA	2294
EMBERLY MAY PRYOR	TA	3560
RYAN BELMONT TAYLOR	TA	3229
AMELIA ANN WADDLE	TA	2660

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