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NIESLANIK, KRISTINE M       
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: ANNE SULLIVAN CENTER
126 PHOENIX AVE #2
LOWELL MA 01852
Phone #: (978) 453-8331
Fax #:
County: NOT OKLAHOMA
License: 2695
Dated: 11/4/1997
Expires: 1/31/2004
Temp. Ltr. Issued: 6/5/1997
Temp. Ltr. Expires: 11/22/1997
License Type: Physical Therapist
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year:
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:
ANNE SULLIVAN CENTER
126 PHOENIX AVE #2
LOWELL MA 01852

Phone #: (978) 453-8331
Fax #:

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