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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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MUILENBURG, PATRICK JOSHUA       
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: SELECT PHYSICAL THERAPY
10169 STATE HIGHWAY 66
SAPULPA OK 74066

Address last updated on 12/4/2023
Phone #: (918) 224-2897
Fax #: (918) 227-6477
County: CREEK
License: 4312
Dated: 8/3/2010
Expires: 1/31/2025
Temp. Ltr. Issued: 6/11/2010
Temp. Ltr. Expires: 1/2/2011
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:
SELECT PHYSICAL THERAPY
10169 STATE HIGHWAY 66
SAPULPA OK 74066

Phone #: (918) 224-2897
Fax #: (918) 227-6477
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
KELLY VIRGINIA BLATZ TA 3790
BETH ANN CASSODY TA 928
GIA T DO TA 3787
CAMERON KEITH FORD TA 2994
LEA ELLEN FRASCA TA 742
LACEY FAITH HEMBREE TA 3395
DALTON JAMES LENOX TA 3686
VALERIE NICOLE OBNEY TA 2763
STEPHEN EDWARD OWEN TA 593
SAM VALE PENNY TA 675
DEJUAN SHAUN POWELL TA 2675

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