WALLACE, RANDALL ALLEN - Licensee Information

Search Results

Last Update: Thursday, April 18, 2024 1:01 PM CDT
Next Update: Thursday, April 18, 2024 4:30 PM CDT

WALLACE, RANDALL ALLEN

Practice Address:	FUNCTIONAL ASSESSMENT CTRS OF OKLAHOMA 13401 RAILWAY DR. OKLAHOMA CITY OK 73114 Address last updated on 12/28/2023
Phone #:	(405) 879-6766
Fax #:
County:	OKLAHOMA
License:	2855
Dated:	12/30/1998
Expires:	1/31/2025
Temp. Ltr. Issued:	9/17/1998
Temp. Ltr. Expires:	3/6/1999
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:
FUNCTIONAL ASSESSMENT CTRS OF OKLAHOMA 13401 RAILWAY DR. OKLAHOMA CITY OK 73114 Phone #: (405) 879-6766 Fax #:

Return to Search Licensees page

GDPR Notice

European Union Residents - GDPR Notice: In accordance with the Oklahoma Open Records Act, all applications submitted are a matter of public record. Social Security Numbers and any HIPAA-protected data are redacted. By applying for and retaining an Oklahoma Medical License, you are giving consent to share your information with anyone requesting it and waiving your right to be notified when your data is requested. We are also required to retain licensee records for a minimum of 10 years after the license expires, so any information submitted will remain a public record for that time period.

Oklahoma State Board of Medical Licensure and Supervision :: 101 NE 51st St, Oklahoma City, OK 73105-1821
Main Number: (405) 962-1400 :: Fax: (405) 962-1440 :: Complaints outside 405 area code: 1-800-381-4519
Contact Info