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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, May 2, 2024 2:23 PM CDT
Next Update: Thursday, May 2, 2024 4:30 PM CDT

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MILLER, DESTINY CHAPRELL
Practice Address: PHYSICAL THERAPY CENTRAL
2015 W BROADWAY ST UNIT 3A
ARDMORE OK 73401

Address last updated on 1/11/2024
Phone #: (580) 247-1320
Fax #:
County: CARTER
License: 3501
Dated: 2/1/2023
Expires: 1/31/2025
Temp. Ltr. Issued: 12/13/2021
Temp. Ltr. Expires: 1/19/2022
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:
PHYSICAL THERAPY CENTRAL
2015 W BROADWAY ST UNIT 3A
ARDMORE OK 73401

Phone #: (580) 247-1320
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
RYAN VINCENT FRALEY PT 5565

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