FANNING, ANGELA CHRISTINA - 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

FANNING, ANGELA CHRISTINA

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:	CARTER HEALTHCARE - SOUTHEAST 200 EAST HARRIS CIRCLE STE A TAHLEQUAH OK 74464 Address last updated on 1/29/2024
Phone #:	(918) 458-0663
Fax #:
County:	MUSKOGEE
License:	1729
Dated:	9/30/2008
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:
CARTER HEALTHCARE - SOUTHEAST 200 EAST HARRIS CIRCLE STE A TAHLEQUAH OK 74464 Phone #: (918) 458-0663 Fax #:

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
KATHRYN ELIZABETH BOLTON	PT	2983

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