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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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TIPTON, RANDALL CLAY       
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: UNIVERSAL REHAB SVCS
114 NW 6TH STE 104
OKLAHOMA CITY OK 73102

Address last updated on 12/11/2023
Phone #: (405) 272-0700
Fax #: (405) 272-0701
County: OKLAHOMA
License: 3052
Dated: 8/10/2000
Expires: 1/31/2025
Temp. Ltr. Issued: 6/29/2000
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:
UNIVERSAL REHAB SVCS
114 NW 6TH STE 104
OKLAHOMA CITY OK 73102

Phone #: (405) 272-0700
Fax #: (405) 272-0701
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
LESLIE KEM ARCHER TA 3169
SHANNON LEE BRAUDWAY TA 1151
DIANE ALIENE CASTRO TA 1163
TIFFANY MARIE CRAWFORD TA 2007
SARA ANNE DALE TA 1052
JEFFREY WADE DUNCAN TA 1502
ANA G FARRIS TA 890
TAMARA ZAID FLEMONS TA 3102
STEFFANI LIN GITTHENS TA 917
COBY WAYNE HARVEY TA 1683
APRIL DAWN JOHNSON TA 1420
KEVIN WAYNE KINNAIRD TA 2144
VIRGINIA IRENE OLDHAM TA 1487
RONDA DIANNE PIERSALL TA 1782
SHELLY DIANNE SCOTT TA 780
TASHA LYNN SNEED TA 1494
LARRY DARNELL TEMPSON JR TA 1319
PENNY LANE WALLS TA 1590
DENISE MARIE WEAVER TA 897

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