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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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BUCKNER, CHEYENNE       
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: OKLAHOMA PEDIATRIC THERAPY CENTER
1824 COMMONS CIRCLE
STE B
YUKON OK 73099
Address last updated on 8/28/2024
Phone #: (405) 467-6782
Fax #:
County: CANADIAN
License: 6348
Dated: 6/12/2023
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:
OKLAHOMA PEDIATRIC THERAPY CENTER
1824 COMMONS CIRCLE
STE B
YUKON OK 73099
Phone #: (405) 467-6782
Fax #:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
AMANDA NICOLE BOWENS TA 1823
RANDI BRIANN CAMPBELL TA 3260
JESSICA JEAN HASKINS TA 1785
KEELY PAIGE LOVELACE TA 3565
KEELY PAIGE LOVELACE TA 3565

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