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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, April 19, 2024 3:09 PM CDT
Next Update: Saturday, April 20, 2024 2:50 AM CDT

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WALLACE, KELLY JENNIFER
Practice Address: CUTTING EDGE PHYSICAL THERAPY
526 SW 4TH ST STE 200
MOORE OK 73160

Address last updated on 1/15/2024
Phone #: (405) 759-2700
Fax #: (405) 759-2722
County: OKLAHOMA
License: 2460
Dated: 2/1/1996
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:
CUTTING EDGE PHYSICAL THERAPY
526 SW 4TH ST STE 200
MOORE OK 73160

Phone #: (405) 759-2700
Fax #: (405) 759-2722
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
LISA MARIEA GUNN TA 2379
JACOB THOMAS LIVELY TA 3262
PEDRO L RODRIGUEZ JR. TA 3380
REBECCA ANN SCHWARTZ TA 3374
MICHELLE LYNN SIGLER TA 308
ERIN ROCHELLE SKERO TA 475

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