BURKHART, AMY DAWN - 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

BURKHART, AMY DAWN

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:	THREE RIVERS HEALTH CENTER PHYSICAL THERAPY 4811 E 53RD ST SOUTH MUSKOGEE OK 74403 Address last updated on 10/16/2024
Phone #:	(918) 781-6565
Fax #:
County:	MUSKOGEE
License:	1658
Dated:	3/21/2008
Expires:	1/31/2025
Temp. Ltr. Issued:	10/8/2010
Temp. Ltr. Expires:	11/5/2010
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:
THREE RIVERS HEALTH CENTER PHYSICAL THERAPY 4811 E 53RD ST SOUTH MUSKOGEE OK 74403 Phone #: (918) 781-6565 Fax #:

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
TAYLOR BREANN FORMAN	PT	5976

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