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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST

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PLOTT, PRISCILLA MASCORRO       
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: AMEDISYS
1637 S MAIN ST
GROVE OK 74344

Address last updated on 6/23/2024
Phone #: (918) 787-9496
Fax #:
County: DELAWARE
License: 2107
Dated: 12/19/2011
Expires: 1/31/2025
Temp. Ltr. Issued: 10/14/2011
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:
AMEDISYS
1637 S MAIN ST
GROVE OK 74344

Phone #: (918) 787-9496
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
MICHELLE RENEE HENDRICKS PT 5012

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