DYER, EDIE JOLYN - Licensee Information

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Last Update: Saturday, December 21, 2024 3:49 AM CST
Next Update: Saturday, December 21, 2024 12:00 PM CST

DYER, EDIE JOLYN

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:	MCBRIDE ORTHOPEDIC HOSPITAL 9600 BROADWAY EXT OKLAHOMA CITY OK 73114 Address last updated on 4/12/2024
Phone #:	(405) 230-9675
Fax #:	(405) 230-9680
County:	OKLAHOMA
License:	3040
Dated:	8/10/2000
Expires:	1/31/2025
Temp. Ltr. Issued:	6/15/2000
Temp. Ltr. Expires:	9/30/2000
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:
MCBRIDE ORTHOPEDIC HOSPITAL 9600 BROADWAY EXT OKLAHOMA CITY OK 73114 Phone #: (405) 230-9675 Fax #: (405) 230-9680

Name:	Type:	License Number:
Primary Supervisees(s):
KAYLA JOLYNN ALLEN	TA	2374
HOLLY ELIZABETH ELLIOTT	TA	2467
MICHAEL DANIEL EVANS	TA	2296
RICHARD KOHL FRANCIS	TA	3528
KINSEY SUE HOWARD	TA	1149
KAYLEE LYNN LONG	TA	2885
ERICCA MARIE MANDELKOW	TA	1676
TED CHARLES MOORE	TA	500
PHU TIEN NGUYEN	TA	3531
ANDREW KENNETH PEELER	TA	2654
STACY MICHELLE VITATOE	TA	1905
JENNIFER BROOKE WRIGHT	TA	2646

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