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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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BROOKOVER, CAROLINE 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: ELEVATE PEDIATRIC THERAPIES
1110 W WILL ROGERS BLVD
CLAREMORE OK 74017

Address last updated on 12/10/2024
Phone #: (918) 341-4343
Fax #:
County: ROGERS
License: 6149
Dated: 6/8/2022
Expires: 1/31/2026
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:
ELEVATE PEDIATRIC THERAPIES
1110 W WILL ROGERS BLVD
CLAREMORE OK 74017

Phone #: (918) 341-4343
Fax #:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
NICHOLAS JERAD HAGEBUSCH TA 3725
NICHOLAS JERAD HAGEBUSCH TA 3725
AUDREY MARIYA HOPKINS TA 3883
ALEXIS BROOKE KEITH TA 3425
CONNER SUTTON TA 3666
CONNER SUTTON TA 3666
NATALIE RHUENAE YOUNG TA 1271

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