WEAVER, JORDAN MARIE - Licensee Information

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

WEAVER, JORDAN MARIE

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:	THERAWEST PHYSICAL AND AQUATIC THERAPY 424 STATE ST WEATHERFORD OK 73096 Address last updated on 1/10/2024
Phone #:	(580) 772-8778
Fax #:
County:	CUSTER
License:	3421
Dated:	7/28/2021
Expires:	1/31/2025
Temp. Ltr. Issued:	6/15/2021
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:
THERAWEST PHYSICAL AND AQUATIC THERAPY 424 STATE ST WEATHERFORD OK 73096 Phone #: (580) 772-8778 Fax #:

Name:	Type:	License Number:
Primary Supervisor(s):
RHONDA ELAINE BINGAMAN	PT	916
ALEXIS SCHMIDT	PTC	12281

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