OTTO, PRESTON - Licensee Information - Oklahoma Medical Board

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

OTTO, PRESTON

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:	SUMMIT PHYSICAL THERAPY - CATOOSA 434 SOUTH CHEROKEE ST CATOOSA OK 74015 Address last updated on 12/10/2023
Phone #:	(918) 266-6200
Fax #:
County:	ROGERS
License:	6409
Dated:	6/19/2023
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:
SUMMIT PHYSICAL THERAPY - CATOOSA 434 SOUTH CHEROKEE ST CATOOSA OK 74015 Phone #: (918) 266-6200 Fax #:

Name:	Type:	License Number:
Primary Supervisees(s):
BRENDEN WADE ANDERSON	TA	3670
MICHAELYNNE BEAL	TA	3773
BRISTEN NIKAIL BROWN	TA	3361

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