BERG, KELLI MICHELLE - Licensee Information

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BERG, KELLI MICHELLE

Practice Address:	TEXOMA PHYSICAL THERAPY & REHABILITATION CLINIC 101 WEST MAIN TISHOMINGO OK 73460 Address last updated on 6/28/2013
Phone #:	(580) 371-2334
Fax #:
County:	JOHNSTON
License:	4763
Dated:	9/5/2013
Expires:	1/31/2014
Temp. Ltr. Issued:	6/14/2013
Temp. Ltr. Expires:	9/12/2013
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:
TEXOMA PHYSICAL THERAPY & REHABILITATION CLINIC 101 WEST MAIN TISHOMINGO OK 73460 Phone #: (580) 371-2334 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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