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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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TRAVIS, LESLIE LOUELLA GAYNELLE       
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: PHYSICAL THERAPY CENTRAL
10740 S MAY AVE
OKLAHOMA CITY OK 73170

Address last updated on 10/4/2024
Phone #: (405) 286-9605
Fax #:
County: OKLAHOMA
License: 3866
Dated:
Expires: 1/25/2025
Temp. Ltr. Issued: 10/4/2024
Temp. Ltr. Expires: 1/25/2025
License Type: Physical Therapist Assistant
Specialty:
Status: Active
Status Class: Temporary
Restricted to:
CME Year:
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:
PHYSICAL THERAPY CENTRAL
10740 S MAY AVE
OKLAHOMA CITY OK 73170

Phone #: (405) 286-9605
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
MEGAN CHRISTINE BANKS PT 5269

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