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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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ALTER, BRUCE III       
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: PHYSICAL THERAPY CENTRAL
1124 SOUTH DOUGLAS BLVD.
MIDWEST CITY OK 73130-5236

Address last updated on 1/10/2024
Phone #: (405) 582-2105
Fax #: (405) 582-2134
County: OKLAHOMA
License: 6009
Dated: 4/6/2021
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:
PHYSICAL THERAPY CENTRAL
1124 SOUTH DOUGLAS BLVD.
MIDWEST CITY OK 73130-5236

Phone #: (405) 582-2105
Fax #: (405) 582-2134
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
HAILEY HOVELSRUD TA 3750
JONATHAN LEE RADELL TA 3758

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