CAO, TRAM THI BICH - 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

CAO, TRAM THI BICH

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:	INTEGRIS JIM THORPE OUTPATIENT PT 1401 SW 34TH ST MOORE OK 73160 Address last updated on 1/3/2024
Phone #:	(405) 793-7885
Fax #:
County:	CLEVELAND
License:	4608
Dated:	8/10/2012
Expires:	1/31/2025
Temp. Ltr. Issued:	7/20/2012
Temp. Ltr. Expires:	11/9/2012
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:
INTEGRIS JIM THORPE OUTPATIENT PT 1401 SW 34TH ST MOORE OK 73160 Phone #: (405) 793-7885 Fax #:

Name:	Type:	License Number:
Primary Supervisees(s):
MICHAEL WAYNE BLOMSTROM	TA	691
LESLIE HEIDI ROBERTS	TA	3050
DEBORAH KAY WILLIAMS	TA	2508

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