BOREN, DALE ALLEN JR - Licensee Information

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Last Update: Saturday, December 21, 2024 3:49 AM CST
Next Update: Saturday, December 21, 2024 12:00 PM CST

BOREN, DALE ALLEN JR

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:	PHYSICAL THERAPY CENTRAL OF ELK CITY 1007 N. MAIN STREET. SUITE 102 ELK CITY OK 73644 Address last updated on 1/2/2024
Phone #:	(580) 225-0075
Fax #:	(580) 225-0095
County:	BECKHAM
License:	3785
Dated:	2/15/2006
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:
PHYSICAL THERAPY CENTRAL OF ELK CITY 1007 N. MAIN STREET. SUITE 102 ELK CITY OK 73644 Phone #: (580) 225-0075 Fax #: (580) 225-0095

Name:	Type:	License Number:
Primary Supervisees(s):
AUBREIGH ELIZABETH CARY	TA	3598
SKYLAR LEANN ABIGAIL DENNING	TA	3567
ABBEY LYNN HUGHEN	TA	3820
CHALEY DURELLE POWELL	TA	3825
STEPHANIE RADKE	TA	3132

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