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MONTGOMERY, BHANU       
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: TRI STATE PT
839 LANDON DRIVE #113
BULLHEAD CITY AZ 86429

Address last updated on 1/26/2005
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 3089
Dated: 10/26/2000
Expires: 1/31/2006
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:
TRI STATE PT
839 LANDON DRIVE #113
BULLHEAD CITY AZ 86429

Phone #:
Fax #:

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