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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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BLACKBURN, JOSIE COCANNOUER       
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: THE MOBILE THERAPY CLINIC
10921 S WESTERN AVE
SUITE 200
OKC OK 73170

Address last updated on 12/21/2023
Phone #: (405) 676-5606
Fax #: (405) 676-5374
County: OKLAHOMA
License: 4808
Dated: 8/1/2014
Expires: 1/31/2025
Temp. Ltr. Issued: 5/15/2014
Temp. Ltr. Expires: 11/7/2014
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:
THE MOBILE THERAPY CLINIC
10921 S WESTERN AVE
SUITE 200
OKC OK 73170

Phone #: (405) 676-5606
Fax #: (405) 676-5374
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
LESLIE NICOLE DAY TA 1449
ASHLEY JANNEL DEAN TA 2516
KYLA L. DICKERSON TA 3276
KATELYNN MARIE LEWIS TA 3656
JULIANNE MOORE TA 3489
CORI ELAINA MOORE TA 2285
KARRINGTON MCKENZIE MORRIS TA 3308
MARLEKA KAI MUNN TA 1401
SHEILA MICHELLE POWELL TA 628
CYNTHIA DIANE REFFNER TA 707
BRENDA FAYE SHIEW TA 420

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