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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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THOMPSON, JUSTIN WILLIAM       
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: WICHITA REHAB PLLC
281773 POPPY LN
MARLOW OK 73055-6415

Address last updated on 10/23/2024
Phone #: (580) 465-1829
Fax #:
County: STEPHENS
License: 4060
Dated: 9/21/2007
Expires: 1/31/2025
Temp. Ltr. Issued: 8/3/2007
Temp. Ltr. Expires: 11/3/2007
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:
WICHITA REHAB PLLC
281773 POPPY LN
MARLOW OK 73055-6415

Phone #: (580) 465-1829
Fax #:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
BRADYN CHASE KOEHLER TA 3265
MICHAEL DALE MORELAND TA 876
QUANAH ANN PARKER TA 3273
PAMELA DENISE RUTLEDGE TA 976
RYAN BELMONT TAYLOR TA 3229

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