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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, April 29, 2024 4:03 AM CDT
Next Update: Monday, April 29, 2024 12:00 PM CDT

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HICKS, JACOBY DALE
Practice Address: PT SOLUTIONS @ HILLCREST MEDICAL CENTER
1120 S UTICA AVE
TULSA OK 74104

Address last updated on 2/20/2024
Phone #: (918) 579-7100
Fax #:
County: TULSA
License: 6276
Dated:
Expires: 5/16/2024
Temp. Ltr. Issued: 3/4/2024
Temp. Ltr. Expires: 5/16/2024
License Type: Physical Therapist
Specialty:
Status: Active
Status Class: Temporary
Restricted to:
CME Year:
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:
PT SOLUTIONS @ HILLCREST MEDICAL CENTER
1120 S UTICA AVE
TULSA OK 74104

Phone #: (918) 579-7100
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
JOHN DEAN KELLER PT 4841

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