THAI, KRISTINA VO PHUC - 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

THAI, KRISTINA VO PHUC

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:	CHILDREN'S HOSPITAL AT OU MEDICAL CENTER 1200 CHILDRENS AVE. #2J OKLAHOMA CITY OK 73104 Address last updated on 12/3/2024
Phone #:	(405) 271-4875
Fax #:
County:	OKLAHOMA
License:	5091
Dated:	2/1/2016
Expires:	1/31/2025
Temp. Ltr. Issued:	12/9/2015
Temp. Ltr. Expires:	3/11/2016
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:
CHILDREN'S HOSPITAL AT OU MEDICAL CENTER 1200 CHILDRENS AVE. #2J OKLAHOMA CITY OK 73104 Phone #: (405) 271-4875 Fax #:

Name:	Type:	License Number:
Primary Supervisees(s):
LONDON SHEA CALVILLO	TA	3602
EMILY MARIE PLATNER	TA	3525
DALTON COLE SECRIST	TA	3090
DARYN SHEA WAUTERS	TA	2157

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