WILLIS, WADE KENNEDY - 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

WILLIS, WADE KENNEDY

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:	STRIDES PEDIATRIC THERAPY 7738 NORTH OWASSO EXPRESSWAY OWASSO OK 74055 Address last updated on 12/9/2024
Phone #:	(918) 928-4255
Fax #:	(918) 928-4258
County:	TULSA
License:	3935
Dated:	6/30/2006
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:
STRIDES PEDIATRIC THERAPY 7738 NORTH OWASSO EXPRESSWAY OWASSO OK 74055 Phone #: (918) 928-4255 Fax #: (918) 928-4258

Name:	Type:	License Number:
Primary Supervisees(s):
KAMBRI MAE CHAPMAN	TA	3566
MELODIE DAWN MOORE	TA	3676
NICOLLE DIANE MURNAN	TA	2403

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