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Last Update: Sunday, April 28, 2024 1:44 PM CDT
Next Update: Sunday, April 28, 2024 4:30 PM CDT
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|
ROOT, DEREK MARTIN |
| Practice Address: |
ASCENSION ST. JOHN SAPULPA
1004 EAST BRYAN AVE
SAPULPA OK 74066
Address last updated on 1/29/2024 |
| Phone #: |
(918) 224-4280 |
| Fax #: |
|
| County: |
CREEK |
| License: |
2548 |
| Dated: |
2/1/2016 |
| Expires: |
1/31/2025 |
|
Temp.
Ltr.
Issued:
|
8/12/2015 |
|
Temp.
Ltr.
Expires:
|
1/8/2016 |
| 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):
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| Name: |
Type: |
License Number: |
Full/Part Time: |
|
TAD SHAWN ANDREWS
|
PT |
1948 |
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