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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Sunday, May 5, 2024 4:03 AM CDT
Next Update: Sunday, May 5, 2024 12:00 PM CDT

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DETTER, MICHAEL DAVID
Practice Address: TULSA REHABILITATION HOSPITAL
7909 S 101ST E AVE
TULSA OK 74133

Address last updated on 2/1/2024
Phone #: (918) 820-3579
Fax #:
County: TULSA
License: 4824
Dated: 5/30/2014
Expires: 1/31/2025
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:
TULSA REHABILITATION HOSPITAL
7909 S 101ST E AVE
TULSA OK 74133

Phone #: (918) 820-3579
Fax #:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
JEFFREY TODD JURNEY TA 444
JAMES STEPHEN NAGY TA 545
ASHLEY NICOLE OWENS TA 3080
JOHNSON LOUIS PARACKAL TA 1535

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