BRALY, BROOKE CHEYENNE - 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

BRALY, BROOKE CHEYENNE

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:	INTEGRIS HEALTH JIM THORPE REHABILITATION EDMOND 4509 INTEGRIS PARKWAY SUITE 100 EDMOND OK 73034 Address last updated on 1/16/2024
Phone #:	(405) 657-3800
Fax #:
County:	OKLAHOMA
License:	3559
Dated:	7/14/2022
Expires:	1/31/2025
Temp. Ltr. Issued:	6/21/2022
Temp. Ltr. Expires:	11/17/2022
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:
INTEGRIS HEALTH JIM THORPE REHABILITATION EDMOND 4509 INTEGRIS PARKWAY SUITE 100 EDMOND OK 73034 Phone #: (405) 657-3800 Fax #:

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
AMANDA JOAN GARRISON	PT	2821

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