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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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GAMBILL, BOPHA TIEM       
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: REHAB LINK
4920 S 209TH E AVE
BROKEN ARROW OK 74014
Address last updated on 10/30/2024
Phone #: (918) 951-5909
Fax #:
County: TULSA
License: 3721
Dated: 6/10/2004
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:
REHAB LINK
4920 S 209TH E AVE
BROKEN ARROW OK 74014
Phone #: (918) 951-5909
Fax #:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
STORMY RENEE BERGMANN TA 1642
CINDI ANN CATHEY TA 1691
LESLIE NICOLE DAY TA 1449
ASHLEY JANNEL DEAN TA 2516
KYLA L. DICKERSON TA 3276
ANDREA JO FINNEY TA 2186
HOLLY ANN GRABER TA 1803
LINDSAY NICOLE GRISSETT TA 912
JEFF INGLE TA 2398
KATELYNN MARIE LEWIS TA 3656
JULIANNE MOORE TA 3489
CORI ELAINA MOORE TA 2285
KARRINGTON MCKENZIE MORRIS TA 3308
MARLEKA KAI MUNN TA 1401
MARTIN GLENN PATRICK TA 2059
SHEILA MICHELLE POWELL TA 628
TIMOTHY JOESEPH PROCTER TA 263
CYNTHIA DIANE REFFNER TA 707
BRENDA FAYE SHIEW TA 420
DANIEL NEWTON STOCKTON TA 264
BECKI RENEE TYNER TA 2172

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