POWITZKY, TERESITA ANDREA - Licensee Information

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POWITZKY, TERESITA ANDREA

Practice Address:	JIM THORPE REHABILITATION 4219 SOUTH WESTERN AVENUE OKLAHOMA CITY OK 73109 Address last updated on 12/1/2011
Phone #:	(405) 644-5350
Fax #:
County:	OKLAHOMA
License:	4052
Dated:	8/30/2007
Expires:	1/31/2013
Temp. Ltr. Issued:	8/9/2007
Temp. Ltr. Expires:	9/22/2007
License Type:	Physical Therapist
Specialty:

Status:	Inactive
Status Class:	Expired License
Restricted to:
CME Year:	2014

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:
JIM THORPE REHABILITATION 4219 SOUTH WESTERN AVENUE OKLAHOMA CITY OK 73109 Phone #: (405) 644-5350 Fax #:

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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
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