SMITH, AMBER DONN - Licensee Information

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

SMITH, AMBER DONN

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:	SOUTHWESTERN MEDICAL CENTER 5602 SW LEE BLVD LAWTON OK 73505 Address last updated on 2/6/2024
Phone #:	(580) 531-4704
Fax #:	(580) 531-4805
County:	COMANCHE
License:	3648
Dated:	6/25/2003
Expires:	1/31/2025
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:
SOUTHWESTERN MEDICAL CENTER 5602 SW LEE BLVD LAWTON OK 73505 Phone #: (580) 531-4704 Fax #: (580) 531-4805

Name:	Type:	License Number:
Primary Supervisees(s):
JUSTIN WESLEY DYSART	TA	1600
TINA CRESS GUERRERO	TA	885
STEVEN DEWAYNE HUDDLESTON	TA	400
EMILY SARAH KITZROW	TA	1407
CRYSTAL MARIE LEDAY	TA	1488
GLENETTA GAY MCMASTERS	TA	1907
MICHAEL DALE MORELAND	TA	876
FREDDY ROBERTO VARGAS JARAMILLO	TA	2149

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