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Last Update: Saturday, October 19, 2024 1:24 PM CDT
Next Update: Saturday, October 19, 2024 4:30 PM CDT
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KENNICUTT, TANNER RAY
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| Practice Address: |
PHYSICAL THERAPY OF TULSA
6767 S YALE AVE, STE B
TULSA OK 74133
Address last updated on 8/22/2024 |
| Phone #: |
(918) 906-8351 |
| Fax #: |
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| County: |
TULSA |
| License: |
3834 |
| Dated: |
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| Expires: |
11/21/2024 |
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Temp.
Ltr.
Issued:
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8/22/2024 |
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Temp.
Ltr.
Expires:
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11/21/2024 |
| License Type: |
Physical Therapist Assistant |
| Specialty: |
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| Status: |
Active |
| Status Class: |
Temporary |
| Restricted to: |
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| CME Year: |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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