ODUM, NATHANIEL WAYNE - 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

ODUM, NATHANIEL WAYNE

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:	HOLDENVILLE GENERAL HOSPITAL 100 MCDOUGAL DRIVE HOLDENVILLE OK 74848 Address last updated on 1/28/2024
Phone #:	(405) 379-4200
Fax #:
County:	HUGHES
License:	2088
Dated:	10/28/2011
Expires:	1/31/2025
Temp. Ltr. Issued:	9/9/2011
Temp. Ltr. Expires:	11/4/2011
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:
HOLDENVILLE GENERAL HOSPITAL 100 MCDOUGAL DRIVE HOLDENVILLE OK 74848 Phone #: (405) 379-4200 Fax #:

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
ZACHARY COLE CHRISTOPHER	PT	4221

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