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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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COLLINS, JEFFERY ALLEN       
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: ST JOHN OWASSO PHYSICAL THERAPY
8300 NORTH OWASSO EXPRESSWAY
OWASSO OK 74055-2621

Address last updated on 1/18/2024
Phone #: (918) 274-9786
Fax #: (918) 274-8069
County: TULSA
License: 2621
Dated: 4/24/1997
Expires: 1/31/2025
Temp. Ltr. Issued: 1/2/1997
Temp. Ltr. Expires: 5/15/1997
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:
ST JOHN OWASSO PHYSICAL THERAPY
8300 NORTH OWASSO EXPRESSWAY
OWASSO OK 74055-2621

Phone #: (918) 274-9786
Fax #: (918) 274-8069
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
STACY A AVERY TA 2588
WILLIAM GERALD BELLER TA 2644

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