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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Tuesday, April 23, 2024 4:03 AM CDT
Next Update: Tuesday, April 23, 2024 12:00 PM CDT

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GIBSON, KELLIE GAYLE
Practice Address: BROKEN ARROW PHYSICAL THERAPY
3341 S ELM PL
BROKEN ARROW OK 74429

Address last updated on 12/30/2016
Phone #: (281) 733-0387
Fax #:
County: TULSA
License: 4736
Dated: 5/10/2013
Expires: 1/31/2018
License Type: Physical Therapist
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 2018
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:
BROKEN ARROW PHYSICAL THERAPY
3341 S ELM PL
BROKEN ARROW OK 74429

Phone #: (281) 733-0387
Fax #:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
ANDREA CLEMMER TA 2499
TRINA LANELLE DAVISON TA 2152
KERRY JEAN LICHLYTER TA 1490
JAMES STEPHEN NAGY TA 545
CHARLES EDWARD RAY JR. TA 2261
LORI ANN ROGERS TA 2424
LAURA JEANNE ROLLINS TA 893
KYLENA MAXINE TOWNSEND TA 1539

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