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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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CARRILLO, RACHEL EMILY       
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: 2002 12TH ST NW SUITE A
ARDMORE OK 73401

Address last updated on 10/2/2024
Phone #: (580) 226-9235
Fax #: (580) 226-9239
County: CARTER
License: 3187
Dated: 10/10/2019
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:
2002 12TH ST NW SUITE A
ARDMORE OK 73401

Phone #: (580) 226-9235
Fax #: (580) 226-9239
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
AMY ELIZABETH THOMPSON PT 2243

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