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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, April 24, 2024 3:08 PM CDT
Next Update: Thursday, April 25, 2024 2:50 AM CDT

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TATARIAN, TERRY MOORE
Practice Address: INTEGRIS-JIM THORPE REHAB N
5300 N INDEPENDENCE
OKLAHOMA CITY OK 73112-5550

Address last updated on 12/19/2023
Phone #: (405) 945-4300
Fax #:
County: OKLAHOMA
License: 1374
Dated: 9/6/1986
Expires: 1/31/2025
License Type: Physical Therapist
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-JIM THORPE REHAB N
5300 N INDEPENDENCE
OKLAHOMA CITY OK 73112-5550

Phone #: (405) 945-4300
Fax #:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
MILLICENT MARIE HALE TA 3468
ALLISON CATHERINE HOLDGE TA 2576
LESLIE HEIDI ROBERTS TA 3050
CHERYL ANN SMITH TA 307

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