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Next Update: Friday, April 26, 2024 2:50 AM CDT

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TATUM, JONATHAN DAVIS
Practice Address: DIAMOND THERAPY ( FOREST HILLS HEALTH CARE CENTER)
4300 W. HOUSTON
BROKEN ARROW OK 74012

Address last updated on 3/1/2015
Phone #: (918) 249-0082
Fax #:
County: TULSA
License: 3669
Dated: 10/23/2003
Expires: 1/31/2016
Temp. Ltr. Issued: 6/5/2003
Temp. Ltr. Expires: 2/11/2004
License Type: Physical Therapist
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 2016
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:
DIAMOND THERAPY ( FOREST HILLS HEALTH CARE CENTER)
4300 W. HOUSTON
BROKEN ARROW OK 74012

Phone #: (918) 249-0082
Fax #:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
SHILOH ELIZABETH BERRY TA 3491
JESSICA EMILYE JACKSON TA 2475
JODIE ANN STUCKEY TA 586
DEVIN T.A TUCKER TA 3615

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