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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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WALLACE, ERICA LYNN       
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: EXCEL HOME HEALTH AND HOSPICE
1200 SW 104TH STREET SUITE D
OKLAHOMA CITY OK 73139

Address last updated on 11/25/2024
Phone #: (405) 631-0521
Fax #:
County: OKLAHOMA
License: 2494
Dated: 7/17/2015
Expires: 1/31/2025
Temp. Ltr. Issued: 5/21/2015
Temp. Ltr. Expires: 11/6/2015
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:
EXCEL HOME HEALTH AND HOSPICE
1200 SW 104TH STREET SUITE D
OKLAHOMA CITY OK 73139

Phone #: (405) 631-0521
Fax #:

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