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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, May 2, 2024 5:08 PM CDT
Next Update: Friday, May 3, 2024 2:50 AM CDT

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MIZE, DARREN WADE
Practice Address: REDBUD PHYSICAL THERAPY
825 E KENOSHA ST
BROKEN ARROW OK 74012

Address last updated on 12/31/2023
Phone #: (918) 252-0513
Fax #:
County: TULSA
License: 2349
Dated: 4/14/2014
Expires: 1/31/2025
Temp. Ltr. Issued: 3/14/2014
Temp. Ltr. Expires: 5/16/2014
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:
REDBUD PHYSICAL THERAPY
825 E KENOSHA ST
BROKEN ARROW OK 74012

Phone #: (918) 252-0513
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
MELISSA JEAN DAVIS PT 2919

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