SHEA, REBECCA ANNE - Licensee Information

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SHEA, REBECCA ANNE

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:	3613 NW 56TH STREET SUITE 385 OKLHOMA CITY OK 73112 Address last updated on 12/31/2016
Phone #:
Fax #:
County:	OKLAHOMA
License:	3140
Dated:	8/9/2001
Expires:	1/31/2018
License Type:	Physical Therapist
Specialty:

Status:	Inactive
Status Class:	Expired License
Restricted to:
CME Year:	2018

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:
3613 NW 56TH STREET SUITE 385 OKLHOMA CITY OK 73112 Phone #: Fax #:

Name:	Type:	License Number:
Primary Supervisees(s):
DIANA JUNE DEVER	TA	333
EMILY SARAH KITZROW	TA	1407
JESSE K MCMASTERS	TA	1777

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