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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, September 26, 2024 1:21 PM CDT
Next Update: Thursday, September 26, 2024 4:30 PM CDT

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DEGRAFFENREID, MADISON KELLY       
Practice Address: SELECT REHAB MIDWEST CITY
8200 NATIONAL AVE
MIDWEST CITY OK 73110

Address last updated on 7/2/2024
Phone #: (405) 737-8200
Fax #:
County: OKLAHOMA
License: 2679
Dated: 7/15/2016
Expires: 1/31/2025
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:
SELECT REHAB MIDWEST CITY
8200 NATIONAL AVE
MIDWEST CITY OK 73110

Phone #: (405) 737-8200
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
LYNNE ALYSON DAVIS PT 1415
MARIAH NICOLE WAGNER PT 5816

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