KEENUM, TIFFANY ANN - 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

KEENUM, TIFFANY ANN

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:	PRECISION PHYSICAL THERAPY 20208 NE 23RD ST HARRAH OK 73045-9305 Address last updated on 9/21/2024
Phone #:	(405) 454-0010
Fax #:
County:	OKLAHOMA
License:	5876
Dated:	8/5/2020
Expires:	1/31/2025
Temp. Ltr. Issued:	5/21/2020
Temp. Ltr. Expires:	11/5/2020
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:
PRECISION PHYSICAL THERAPY 20208 NE 23RD ST HARRAH OK 73045-9305 Phone #: (405) 454-0010 Fax #:

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisees(s):
JESSICA JAREE ROBBERSON	TA	2018

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