POWITZKY, TERESITA ANDREA - Licensee Information

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POWITZKY, TERESITA ANDREA

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:	JIM THORPE REHABILITATION 4219 SOUTH WESTERN AVENUE OKLAHOMA CITY OK 73109 Address last updated on 12/1/2011
Phone #:	(405) 644-5350
Fax #:
County:	OKLAHOMA
License:	4052
Dated:	8/30/2007
Expires:	1/31/2013
Temp. Ltr. Issued:	8/9/2007
Temp. Ltr. Expires:	9/22/2007
License Type:	Physical Therapist
Specialty:

Status:	Inactive
Status Class:	Expired License
Restricted to:
CME Year:	2014

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:
JIM THORPE REHABILITATION 4219 SOUTH WESTERN AVENUE OKLAHOMA CITY OK 73109 Phone #: (405) 644-5350 Fax #:

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