MANUEL, MOLLY ELLEN - 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

MANUEL, MOLLY ELLEN

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:	INTEGRIS- JIM THORPE OP REHABILITATION IBMC 5300 N. INDEPENDENCE AVE SUITE 100 OKLAHOMA CITY OK 73112 Address last updated on 1/21/2024
Phone #:	(405) 945-4300
Fax #:
County:	OKLAHOMA
License:	3665
Dated:	9/3/2003
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:
INTEGRIS- JIM THORPE OP REHABILITATION IBMC 5300 N. INDEPENDENCE AVE SUITE 100 OKLAHOMA CITY OK 73112 Phone #: (405) 945-4300 Fax #:

Name:	Type:	License Number:
Primary Supervisees(s):
LAURA ASHLEY BLALOCK	TA	3376
ALEXANDRIA GALE GOODRICH	TA	2917
MILLICENT MARIE HALE	TA	3468
ALLISON CATHERINE HOLDGE	TA	2576
JONATHON HUNNER LANDRETH	TA	3600
LINDSAY MICHELLE MAGEE	TA	3637
LESLIE HEIDI ROBERTS	TA	3050
LESLIE HEIDI ROBERTS	TA	3050
CHERYL ANN SMITH	TA	307

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