VAUGHN, LISA JEAN - Licensee Information

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

VAUGHN, LISA JEAN

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:	SOUTHWEST THERAPY CONSULTANTS, LLC 9376 CLEARVIEW DR BROKEN ARROW OK 74014 Address last updated on 10/7/2024
Phone #:	(918) 770-2493
Fax #:
County:	TULSA
License:	1614
Dated:	9/28/2007
Expires:	1/31/2025
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:
SOUTHWEST THERAPY CONSULTANTS, LLC 9376 CLEARVIEW DR BROKEN ARROW OK 74014 Phone #: (918) 770-2493 Fax #:

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
MATTHEW K. HATHAWAY	PT	3576

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