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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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HYDE, GORDON MILTON       
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: RELIANT REHABILITATION/BAPTIST VILLAGE-OWASSO
7410 N 127TH E AVE
OWASSO OK 74055
Address last updated on 1/14/2024
Phone #: (918) 272-2281
Fax #:
County: TULSA
License: 3472
Dated: 5/3/2001
Expires: 1/31/2025
Temp. Ltr. Issued: 4/12/2001
Temp. Ltr. Expires: 7/21/2001
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:
RELIANT REHABILITATION/BAPTIST VILLAGE-OWASSO
7410 N 127TH E AVE
OWASSO OK 74055
Phone #: (918) 272-2281
Fax #:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
REBECCA RENAE BLOSSOM TA 1945
PENNY S BLUM TA 2231
CHRISTINA ANN CASEY TA 2524
SARAH ELLEN CHANCELLOR TA 1739
KAREN LYNN COPE TA 1205
KARA NICOLE ENKEY TA 3362
SAUNDRA DIANN FITE TA 569
JESSICA ROSE HOFFMAN TA 3682
SARAH JAELAINE LICHTENWALTER TA 3556
TIFFANY SARAE MILLER TA 2388
MIGUEL DONATO MORA TA 3792
RODNEY LYNN MUDD TA 1940
CHASSITY AUTUMN RUBERT TA 921
HEATHER JANE SOMMERS TA 1944
TARA LYNN STEPHENSON TA 2804
ESTHER LEE STEWART TA 1937
GABRIELLE SHARIE THOMAS TA 2605
MARLENE MAE THOMPSON TA 1424
GABRIELLE RENEE TUCKER TA 3365
AMBER MICHELLE WEATHERLY TA 2310
JEREMY DANIEL WHITNEY TA 2305
LANA DANELL WHITTLEY TA 3527

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