VITATOE, STACY MICHELLE - 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

VITATOE, STACY MICHELLE

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:	MCBRIDE ORTHOPEDIC HOSPITAL CLINIC 3700 36TH AVENUE NW NORMAN OK 73072 Address last updated on 1/16/2024
Phone #:	(405) 230-9675
Fax #:
County:	CLEVELAND
License:	1905
Dated:	8/20/2010
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:
MCBRIDE ORTHOPEDIC HOSPITAL CLINIC 3700 36TH AVENUE NW NORMAN OK 73072 Phone #: (405) 230-9675 Fax #:

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