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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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GROSSMAN, JULIE HANCOX       
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: 111 NORTH BAILEY STREET
PRYOR OK 74361

Address last updated on 7/23/2024
Phone #: (918) 824-7770
Fax #: (918) 824-6307
County: MAYES
License: 5019
Dated: 8/26/2015
Expires: 1/31/2025
Temp. Ltr. Issued: 5/29/2015
Temp. Ltr. Expires: 11/6/2015
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:
111 NORTH BAILEY STREET
PRYOR OK 74361

Phone #: (918) 824-7770
Fax #: (918) 824-6307
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
ERIKA RENEA COBLER TA 3448
DARRIEUS SEAN GRISSETT TA 700
KELLY JOEL SHIVE TA 1697

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