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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Saturday, December 21, 2024 3:49 AM CST
Next Update: Saturday, December 21, 2024 12:00 PM CST

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CROUCH, CASSIDY       
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 AT UTICA PARK CLINIC
1501 N FLORENCE AVE STE 330
CLAREMORE OK 74017
Address last updated on 1/20/2024
Phone #: (918) 342-6703
Fax #:
County: ROGERS
License: 6251
Dated: 10/4/2022
Expires: 1/31/2025
Temp. Ltr. Issued: 7/12/2022
Temp. Ltr. Expires: 11/17/2022
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 AT UTICA PARK CLINIC
1501 N FLORENCE AVE STE 330
CLAREMORE OK 74017
Phone #: (918) 342-6703
Fax #:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
STORMY RENEE BERGMANN TA 1642
ANDREA JO FINNEY TA 2186
LINDSAY NICOLE GRISSETT TA 912
DARRIEUS SEAN GRISSETT TA 700
MARTIN GLENN PATRICK TA 2059
KELLY JOEL SHIVE TA 1697
DANIEL NEWTON STOCKTON TA 264
BECKI RENEE TYNER TA 2172

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