ELLIS, SONYA EDEN - Licensee Information

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ELLIS, SONYA EDEN

Practice Address:	HOLLY STREET PHYSICAL THERAPY 1675 W JEFFERSON # A SILOAM SPRINGS AR 72761 Address last updated on 12/16/2009
Phone #:	(479) 524-8028
Fax #:
County:	NOT OKLAHOMA
License:	1466
Dated:	11/14/2005
Expires:	1/31/2010
Temp. Ltr. Issued:	10/7/2005
Temp. Ltr. Expires:	2/1/2006
License Type:	Physical Therapist Assistant
Specialty:

Status:	Inactive
Status Class:	Expired License
Restricted to:
CME Year:	2009

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:
HOLLY STREET PHYSICAL THERAPY 1675 W JEFFERSON # A SILOAM SPRINGS AR 72761 Phone #: (479) 524-8028 Fax #:

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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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