TAYLOR, CANDACE MARIE - 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

TAYLOR, CANDACE MARIE

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:	KELLY B. TODD CEREBRAL PALSY CENTER PO BOX 2643 MUSKOGEE OK 74402 Address last updated on 12/11/2024
Phone #:	(918) 683-4621
Fax #:
County:	MUSKOGEE
License:	4859
Dated:	8/1/2014
Expires:	1/31/2025
Temp. Ltr. Issued:	6/5/2014
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:
KELLY B. TODD CEREBRAL PALSY CENTER PO BOX 2643 MUSKOGEE OK 74402 Phone #: (918) 683-4621 Fax #:

Name:	Type:	License Number:
Primary Supervisees(s):
CHRISTINA ANN PARISOTTO	TA	506
MARYAH DAWN STEWART	TA	3356

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