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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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MELVIN, DYLAN ZACHARY       
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: REGENERATION PHYSICAL THERAPY OF WEATHERFORD
1801 LIBERTY
WEATHERFORD OK 73096

Address last updated on 7/14/2024
Phone #: (580) 772-2662
Fax #:
County: CUSTER
License: 3809
Dated: 7/12/2024
Expires: 1/31/2025
Temp. Ltr. Issued: 7/3/2024
Temp. Ltr. Expires: 9/19/2024
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:
REGENERATION PHYSICAL THERAPY OF WEATHERFORD
1801 LIBERTY
WEATHERFORD OK 73096

Phone #: (580) 772-2662
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
JEFF SCOTT MOSES PT 2818

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