MCCOY, NICOLE MARIE - 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

MCCOY, NICOLE MARIE

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:	FRANCISCAN VILLA 17110 E 51ST STREET BROKEN ARROW OK 74012 Address last updated on 2/28/2024
Phone #:	(918) 355-1596
Fax #:
County:	TULSA
License:	1938
Dated:	9/24/2010
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:
FRANCISCAN VILLA 17110 E 51ST STREET BROKEN ARROW OK 74012 Phone #: (918) 355-1596 Fax #:

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
AMANDA GRACE BARBOSA-GUEVARA	PT	5298

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