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Last Update: Wednesday, March 27, 2024 6:55 PM CDT
Next Update: Thursday, March 28, 2024 2:50 AM CDT
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WARD, BROOKE NICOLE |
Practice Address: |
CORDELL CHRISTIAN HOME
1400 N COLLEGE ST
CORDELL OK 73632
Address last updated on 1/25/2024 |
Phone #: |
(580) 832-3371 |
Fax #: |
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County: |
WASHITA |
License: |
2495 |
Dated: |
7/17/2015 |
Expires: |
1/31/2025 |
Temp.
Ltr.
Issued:
|
7/9/2015 |
Temp.
Ltr.
Expires:
|
11/6/2015 |
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: |
CRYSTAL LYNN BACKUS
|
PTC |
11039 |
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