DAVIS, BEARTIZ HERNANDEZ - Licensee Information

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DAVIS, BEARTIZ HERNANDEZ

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, INC 34637 AIRLINE ROAD PAULS VALLEY OK 73075 Address last updated on 3/4/2011
Phone #:	(405) 238-7000
Fax #:
County:	GARVIN
License:	4407
Dated:	3/4/2011
Expires:	1/31/2012
Temp. Ltr. Issued:	1/28/2011
Temp. Ltr. Expires:	7/15/2011
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:
PHYSICAL THERAPY CENTRAL, INC 34637 AIRLINE ROAD PAULS VALLEY OK 73075 Phone #: (405) 238-7000 Fax #:

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