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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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PRIDEMORE, KELLI RENEE       
Practice Address: THE SPOT FOR KIDS
1605 S EUCALYPTUS AVE #200
BROKEN ARROW OK 74012

Address last updated on 9/3/2024
Phone #: (918) 608-1212
Fax #:
County: TULSA
License: 3317
Dated: 10/7/2020
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:
THE SPOT FOR KIDS
1605 S EUCALYPTUS AVE #200
BROKEN ARROW OK 74012

Phone #: (918) 608-1212
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
CHRYSTAL MARIE DETRING PT 4989

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