WAGNER, MADISON REYBURN - 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

WAGNER, MADISON REYBURN

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:	PT SOLUTIONS 6802 S OLYMPIA AVE. SUITE 175 TULSA OK 74132 Address last updated on 12/18/2023
Phone #:	(918) 488-2280
Fax #:
County:	TULSA
License:	5983
Dated:	6/3/2021
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:
PT SOLUTIONS 6802 S OLYMPIA AVE. SUITE 175 TULSA OK 74132 Phone #: (918) 488-2280 Fax #:

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisees(s):
LINDSAY GRACE MORGAN	TA	3410

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