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Oklahoma Board of Medical Licensure and Supervision

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

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OLIVE, MYSHAL LEANNE       
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: NORTHWEST PHYSICAL THERAPY & SPORTS REHAB
2630 OKLAHOMA AVE
WOODWARD OK 73801

Address last updated on 11/4/2024
Phone #: (580) 256-2102
Fax #:
County: WOODWARD
License: 2185
Dated: 11/8/2012
Expires: 1/23/2025
Temp. Ltr. Issued: 11/12/2024
Temp. Ltr. Expires: 1/23/2025
License Type: Physical Therapist Assistant
Specialty:
Status: Active
Status Class: Temporary
Restricted to:
CME Year: 2018
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:
NORTHWEST PHYSICAL THERAPY & SPORTS REHAB
2630 OKLAHOMA AVE
WOODWARD OK 73801

Phone #: (580) 256-2102
Fax #:

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