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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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SMITH, RYAN ANDREW       
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: CITIZENS POTAWATOMI NATION PHYSICAL THERAPY
2345 S GORDON DRIVE
SHAWNEE OK 74804

Address last updated on 12/3/2024
Phone #: (405) 695-6004
Fax #:
County: POTTAWATOMIE
License: 6397
Dated: 6/1/2023
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:
CITIZENS POTAWATOMI NATION PHYSICAL THERAPY
2345 S GORDON DRIVE
SHAWNEE OK 74804

Phone #: (405) 695-6004
Fax #:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
DONNY LYNN ROBERTS TA 412

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