OLUFAYO, MALISSA L - Licensee Information

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

OLUFAYO, MALISSA L

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:	SSM HEALTH AT HOME 601 NW 11TH ST SUITE 200 OKLAHOMA CITY OK 73103 Address last updated on 1/19/2024
Phone #:	(405) 231-2992
Fax #:
County:	OKLAHOMA
License:	4489
Dated:	11/3/2011
Expires:	1/31/2025
Temp. Ltr. Issued:	6/23/2011
Temp. Ltr. Expires:	12/19/2011
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:
SSM HEALTH AT HOME 601 NW 11TH ST SUITE 200 OKLAHOMA CITY OK 73103 Phone #: (405) 231-2992 Fax #:

Name:	Type:	License Number:
Primary Supervisees(s):
JEFFREY WADE DUNCAN	TA	1502
AMY LYNNE DUNCAN	TA	1909
JOSEPH ADAM HINTON	TA	3230
DARRELL SCOTT HOOD	TA	595
COLIN MUNCY HUTCHENS	TA	1484
JACOB LEE KILLINGSWORTH	TA	931

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