GRIMALDO-SALAZAR, HUMBERTO - 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

GRIMALDO-SALAZAR, HUMBERTO

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:	PROHAB THERAPY SPECIALIST 105 N 5TH AVE MADILL OK 73446 Address last updated on 1/5/2024
Phone #:	(580) 263-8917
Fax #:
County:	MARSHALL
License:	1948
Dated:	11/22/2010
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:
PROHAB THERAPY SPECIALIST 105 N 5TH AVE MADILL OK 73446 Phone #: (580) 263-8917 Fax #:

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