POLK, AMANDA R - Licensee Information - Oklahoma Medical Board

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

POLK, AMANDA R

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 301 E. CHEROKEE STE. B LINDSAY OK 73052 Address last updated on 1/11/2024
Phone #:	(405) 756-4303
Fax #:
County:	GARVIN
License:	4232
Dated:	9/18/2009
Expires:	1/31/2025
Temp. Ltr. Issued:	6/11/2009
Temp. Ltr. Expires:	11/20/2009
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 301 E. CHEROKEE STE. B LINDSAY OK 73052 Phone #: (405) 756-4303 Fax #:

Name:	Type:	License Number:
Primary Supervisees(s):
FAITH OLIVIA LESSERT	TA	3383
MELANIE MICHELLE NEILL	TA	1054

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