ABBOTT, OLA - Licensee Information - Oklahoma Medical Board

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Last Update: Friday, April 26, 2024 10:48 AM CDT
Next Update: Friday, April 26, 2024 12:00 PM CDT

ABBOTT, OLA

Practice Address:	REHAB SYSTEMS 20860 NE 150TH LUTHER OK 73054 Address last updated on 1/22/2018
Phone #:
Fax #:
County:	OKLAHOMA
License:	5413
Dated:	10/13/2017
Expires:	1/31/2019
License Type:	Physical Therapist
Specialty:

Status:	Inactive
Status Class:	Expired License
Restricted to:
CME Year:	2020

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:
REHAB SYSTEMS 20860 NE 150TH LUTHER OK 73054 Phone #: Fax #:

Name:	Type:	License Number:
Primary Supervisees(s):
THERESA MARIE GUERRERO	TA	1330
TIFFANY SHAUNTE' JACKSON-PONDER	TA	1599
CARENZA ANGELINE SHIELDS	TA	1071

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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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