FORD, BRYAN EDWARD - 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

FORD, BRYAN EDWARD

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:	ANTHONY LA SORSA PHYSICAL THERAPY 4417 W GORE #14 LAWTON OK 73505-5978 Address last updated on 7/2/2024
Phone #:	(580) 353-9399
Fax #:
County:	COMANCHE
License:	577
Dated:	9/12/1997
Expires:	1/31/2025
Temp. Ltr. Issued:	7/10/1997
Temp. Ltr. Expires:	11/22/1997
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:
ANTHONY LA SORSA PHYSICAL THERAPY 4417 W GORE #14 LAWTON OK 73505-5978 Phone #: (580) 353-9399 Fax #:

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
ANTHONY JOSEPH LA SORSA	PT	2929

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