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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, April 17, 2024 6:57 PM CDT
Next Update: Thursday, April 18, 2024 2:50 AM CDT

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ANDERSON, QUINCY EDISON
Practice Address: 921 NE 13 ST
OKLAHOMA CITY OK 73104

Address last updated on 12/28/2023
Phone #: (405) 456-3905
Fax #:
County: OKLAHOMA
License: 4498
Dated: 9/20/2013
Expires: 1/31/2025
Temp. Ltr. Issued: 7/11/2013
Temp. Ltr. Expires: 11/8/2013
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:
921 NE 13 ST
OKLAHOMA CITY OK 73104

Phone #: (405) 456-3905
Fax #:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
SHELLY ANN DAVIS TA 1577
ROBERT DARIN FLORY TA 3626
STACEY DAWN HILER TA 2455
KRISTIE LEA HODGES TA 2016
SHIRLEY MARIE MOODY TA 510
JAMIE ANASTASIA SCHWARTZ TA 871
DUSTIN SHANE SCHWARTZ TA 882
DANYEL TANAKA TA 3402
MICHELLE MARIE WALD TA 1046

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