WHITEBIRD, DALTON TY - Licensee Information

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Last Update: Saturday, April 27, 2024 1:44 PM CDT
Next Update: Saturday, April 27, 2024 4:30 PM CDT

WHITEBIRD, DALTON TY

Practice Address:	NORTHEASTERN HEALTH SYSTEM 205 HARRIS CIRCLE ST 100 TAHLEQUAH OK 74464 Address last updated on 12/28/2023
Phone #:	(918) 458-1883
Fax #:
County:	CHEROKEE
License:	3033
Dated:	7/16/2019
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:
NORTHEASTERN HEALTH SYSTEM 205 HARRIS CIRCLE ST 100 TAHLEQUAH OK 74464 Phone #: (918) 458-1883 Fax #:

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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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