BLOSSOM, REBECCA RENAE - Licensee Information

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Last Update: Saturday, December 21, 2024 3:49 AM CST
Next Update: Saturday, December 21, 2024 12:00 PM CST

BLOSSOM, REBECCA RENAE

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:	BAPTIST VILLAGE-OWASSO 12600 E 73RD ST N OWASSO OK 74055 Address last updated on 7/31/2024
Phone #:	(918) 272-8007
Fax #:
County:	TULSA
License:	1945
Dated:	10/8/2010
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:
BAPTIST VILLAGE-OWASSO 12600 E 73RD ST N OWASSO OK 74055 Phone #: (918) 272-8007 Fax #:

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