FORD, ALEXA ANN - Licensee Information

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FORD, ALEXA ANN

Practice Address:	5401 W MEMORIAL RD OKLAHOMA CITY OK 73142 Address last updated on 9/7/2020
Phone #:
Fax #:
County:	OKLAHOMA
License:	5654
Dated:	5/23/2019
Expires:	1/31/2021
License Type:	Physical Therapist
Specialty:

Status:	Inactive
Status Class:	Expired License
Restricted to:
CME Year:	2022

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:
5401 W MEMORIAL RD OKLAHOMA CITY OK 73142 Phone #: Fax #:

Name:	Type:	License Number:
Primary Supervisees(s):
JENNIFER ANN HASSELWANDER	TA	3539
NICHOLAS JOSEPH HOLDEN	TA	524
ALIZABETH ANN MANDE	TA	1618
JUSTIN TYLER ROGERS	TA	3128
LISA ANN UPTON	TA	1588

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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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