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Last Update: Sunday, May 5, 2024 1:39 PM CDT
Next Update: Sunday, May 5, 2024 4:30 PM CDT
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TAKYI-MICAH, TIERRA LASHAWN FULTZ |
Practice Address: |
615 CLASSEN BLVD.
OKLAHOMA CITY OK 73106
Address last updated on 12/22/2023 |
Phone #: |
(405) 587-0415 |
Fax #: |
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County: |
OKLAHOMA |
License: |
5789 |
Dated: |
8/5/2020 |
Expires: |
1/31/2025 |
License Type: |
Physical Therapist |
Specialty: |
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Status: |
Active |
Status Class: |
Fully Licensed |
Restricted to: |
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CME Year: |
2026 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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