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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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ALVARADO, VERONICA       
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: QUEST PEDIATRIC THERAPY
9201 S I-35 SERVICE ROAD
MOORE OK 73160

Address last updated on 10/1/2024
Phone #: (405) 601-4303
Fax #:
County: CLEVELAND
License: 3372
Dated: 7/13/2021
Expires: 1/31/2025
Temp. Ltr. Issued: 6/22/2021
Temp. Ltr. Expires: 9/16/2021
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:
QUEST PEDIATRIC THERAPY
9201 S I-35 SERVICE ROAD
MOORE OK 73160

Phone #: (405) 601-4303
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
CASEY WILL CHATHAM KIRKES PT 4223
KAITLIN PAULETTE LUTZ PT 5812
ALWYN TETTEY QUARSHIE PT 6055
JACOB RAY SHOCKLEY PT 4482

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