DICKERSON, TAYLOR LAYNE - Licensee Information

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DICKERSON, TAYLOR LAYNE

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:	CENTER FOR ORTHOPEDIC SPORTS PHYSICAL THERAPY 2615 CENTENNIAL BLVD SUITE 101 TALLAHASSEE FL 32312 Address last updated on 11/16/2017
Phone #:	(850) 656-1837
Fax #:	(850) 877-2917
County:	NOT OKLAHOMA
License:	3841
Dated:	9/1/2005
Expires:	1/31/2016
Temp. Ltr. Issued:	7/14/2005
Temp. Ltr. Expires:	9/24/2005
License Type:	Physical Therapist
Specialty:

Status:	Inactive
Status Class:	Expired License
Restricted to:
CME Year:	2016

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:
CENTER FOR ORTHOPEDIC SPORTS PHYSICAL THERAPY 2615 CENTENNIAL BLVD SUITE 101 TALLAHASSEE FL 32312 Phone #: (850) 656-1837 Fax #: (850) 877-2917

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