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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, May 2, 2024 4:48 AM CDT
Next Update: Thursday, May 2, 2024 12:00 PM CDT

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BLOSSOM, REBECCA RENAE
Practice Address: LEGACY HEALTHCARE SERVICES
7821 E 76TH STREET
TULSA OK 74133

Address last updated on 2/22/2024
Phone #: (918) 398-9535
Fax #:
County: TULSA
License: 1945
Dated: 10/8/2010
Expires: 1/31/2025
License Type: Physical Therapist Assistant
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
CME Year: 2026
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:
LEGACY HEALTHCARE SERVICES
7821 E 76TH STREET
TULSA OK 74133

Phone #: (918) 398-9535
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
MICHAEL GLEN GRIFFITH PT 3524

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