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Last Update: Friday, April 19, 2024 6:57 PM CDT
Next Update: Saturday, April 20, 2024 2:50 AM CDT
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SHAW, KELLI DEANNE |
| Practice Address: |
LEGACY THERAPY
510 E MAIN ST.
ANTLERS OK 74523
Address last updated on 2/14/2024 |
| Phone #: |
(580) 298-3341 |
| Fax #: |
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| County: |
PUSHMATAHA |
| License: |
1095 |
| Dated: |
10/18/2001 |
| Expires: |
1/31/2025 |
|
Temp.
Ltr.
Issued:
|
6/24/2008 |
|
Temp.
Ltr.
Expires:
|
9/19/2008 |
| License Type: |
Physical Therapist Assistant |
| 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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