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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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LANGWELL, AMANDA NICOLE       
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: 229 SEABROOK RD
ADA OK 74820

Address last updated on 12/12/2024
Phone #: (580) 272-5557
Fax #: (580) 436-2675
County: PONTOTOC
License: 1433
Dated: 12/8/2005
Expires: 1/31/2026
Temp. Ltr. Issued: 9/1/2005
Temp. Ltr. Expires: 4/5/2006
License Type: Physical Therapist Assistant
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:
229 SEABROOK RD
ADA OK 74820

Phone #: (580) 272-5557
Fax #: (580) 436-2675
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
LINDSY NICHOL WELLS PT 5222

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