PATRICK, MARTIN GLENN - Licensee Information

Search Results

Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

PATRICK, MARTIN GLENN

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:	VIALIFE HOME HEALTH CARE 108 S. ROWE STREET SUITE B PRYOR OK 74361 Address last updated on 12/23/2023
Phone #:	(918) 824-9600
Fax #:
County:	MAYES
License:	2059
Dated:	11/3/2011
Expires:	1/31/2025
Temp. Ltr. Issued:	8/26/2011
Temp. Ltr. Expires:	1/27/2012
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:
VIALIFE HOME HEALTH CARE 108 S. ROWE STREET SUITE B PRYOR OK 74361 Phone #: (918) 824-9600 Fax #:

Return to Search Licensees page