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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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LEIS, AMY CLAIRE |
| Practice Address: |
RELIANT
104 SE TUTTLE
OKLAHOMA CITY OK 73089
Address last updated on 1/18/2024 |
| Phone #: |
(405) 381-3363 x146 |
| Fax #: |
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| County: |
OKLAHOMA |
| License: |
2297 |
| Dated: |
2/1/2014 |
| Expires: |
1/31/2025 |
|
Temp.
Ltr.
Issued:
|
5/31/2013 |
|
Temp.
Ltr.
Expires:
|
4/9/2014 |
| 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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Primary Supervisor(s):
|
| Name: |
Type: |
License Number: |
Full/Part Time: |
|
JARED ADAM BALDWIN
|
PT |
5251 |
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