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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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WILSON, KATELYN BROOKE       
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: BROKEN ARROW PHYSICAL THERAPY
3241 S ELM PLACE
BROKEN ARROW OK 74012

Address last updated on 1/29/2024
Phone #: (918) 449-1332
Fax #:
County: TULSA
License: 5350
Dated: 6/2/2017
Expires: 1/31/2025
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:
BROKEN ARROW PHYSICAL THERAPY
3241 S ELM PLACE
BROKEN ARROW OK 74012

Phone #: (918) 449-1332
Fax #:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
ASHLEY LYNN CHAMBERS TA 3786
ANDREA CLEMMER TA 2499
TRINA LANELLE DAVISON TA 2152
KAYLA SIMMONE GOING TA 2611
KERRY JEAN LICHLYTER TA 1490
CHARLES EDWARD RAY JR. TA 2261
LORI ANN ROGERS TA 2424
LAURA JEANNE ROLLINS TA 893
KYLENA MAXINE TOWNSEND TA 1539

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