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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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ABBOTT, OLA       
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: REHAB SYSTEMS
20860 NE 150TH
LUTHER OK 73054

Address last updated on 1/22/2018
Phone #:
Fax #:
County: OKLAHOMA
License: 5413
Dated: 10/13/2017
Expires: 1/31/2019
License Type: Physical Therapist
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 2020
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:
REHAB SYSTEMS
20860 NE 150TH
LUTHER OK 73054

Phone #:
Fax #:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
THERESA MARIE GUERRERO TA 1330
TIFFANY SHAUNTE' JACKSON-PONDER TA 1599
CARENZA ANGELINE SHIELDS TA 1071

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