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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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RODRIGUEZ, PEDRO L JR.       
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: CUTTING EDGE PHYSICAL THERAPY
526 SW 4TH ST #200
MOORE OK 73160

Address last updated on 9/16/2024
Phone #: (405) 759-2700
Fax #:
County: CLEVELAND
License: 3380
Dated: 7/28/2021
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:
CUTTING EDGE PHYSICAL THERAPY
526 SW 4TH ST #200
MOORE OK 73160

Phone #: (405) 759-2700
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
SHAWN GREGGORY WALLACE PT 1796

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