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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, May 3, 2024 4:08 AM CDT
Next Update: Friday, May 3, 2024 12:00 PM CDT

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STARBUCK, GRAYSON NEAL
Practice Address: KINITO PHYSICAL THERAPY
8341 WOLF LAKE DR.
PIEDMONT OK 73078

Address last updated on 1/4/2024
Phone #: (580) 430-6511
Fax #:
County: OKLAHOMA
License: 4828
Dated: 5/30/2014
Expires: 1/31/2025
Temp. Ltr. Issued: 5/15/2014
Temp. Ltr. Expires: 6/26/2014
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:
KINITO PHYSICAL THERAPY
8341 WOLF LAKE DR.
PIEDMONT OK 73078

Phone #: (580) 430-6511
Fax #:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
JADE ASHLIN CRUZAN TA 3120
ELIZABETH ANN YATES TA 1318

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