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WILSON, MISTI A       
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: REBOUND THERAPY LLC
PO BOX 168
SHADY POINT OK 74956

Address last updated on 2/3/2020
Phone #: (918) 839-9400
Fax #:
County: LEFLORE
License: 2202
Dated: 8/29/2012
Expires: 1/31/2021
Temp. Ltr. Issued: 7/30/2012
Temp. Ltr. Expires: 9/13/2012
License Type: Physical Therapist Assistant
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 2022
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:
REBOUND THERAPY LLC
PO BOX 168
SHADY POINT OK 74956

Phone #: (918) 839-9400
Fax #:

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