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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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BLOOD, AMANDA LEILA       
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: CORNERSTONE HOSPITAL OF OKLAHOMA - BROKEN ARROW
1000 W BOISE CIRCLE
BROKEN ARROW OK 74012

Address last updated on 12/4/2023
Phone #: (918) 994-8300
Fax #:
County: TULSA
License: 5099
Dated: 2/23/2016
Expires: 1/31/2025
Temp. Ltr. Issued: 2/10/2016
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:
CORNERSTONE HOSPITAL OF OKLAHOMA - BROKEN ARROW
1000 W BOISE CIRCLE
BROKEN ARROW OK 74012

Phone #: (918) 994-8300
Fax #:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
ROBIN LYNN ADCOCK TA 2178
RAGAN WILSON DOWNEY TA 3077
PIERRE CORTEZ MARTIN TA 3390
SARA NICOLE MOORE TA 2078
ANDREA JANE MOTLEY TA 1858
LESLEY DENISE RICHARDT TA 946
GABRIELLE RENEE TUCKER TA 3365

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