CAMPANELLA, MAXWELL LEVI - Licensee Information

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Last Update: Friday, April 19, 2024 4:47 PM CDT
Next Update: Saturday, April 20, 2024 2:50 AM CDT

CAMPANELLA, MAXWELL LEVI

Practice Address:	CHEROKEE ELDERCARE 1387 W FOURTH ST TAHLEQUAH OK 74464 Address last updated on 1/8/2024
Phone #:	(918) 453-5554
Fax #:
County:	CHEROKEE
License:	2552
Dated:	8/6/2015
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:
CHEROKEE ELDERCARE 1387 W FOURTH ST TAHLEQUAH OK 74464 Phone #: (918) 453-5554 Fax #:

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
MELISSA ANN WARNER	PT	3855

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Oklahoma State Board of Medical Licensure and Supervision :: 101 NE 51st St, Oklahoma City, OK 73105-1821
Main Number: (405) 962-1400 :: Fax: (405) 962-1440 :: Complaints outside 405 area code: 1-800-381-4519
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