BLACKBURN, TJ SHANNON - Licensee Information

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Last Update: Sunday, April 28, 2024 4:03 AM CDT
Next Update: Sunday, April 28, 2024 12:00 PM CDT

BLACKBURN, TJ SHANNON

Practice Address:	HEALTHPRO HERITAGE AT HOME 2028 E MEMORIAL ROAD EDMOND OK 73013 Address last updated on 1/8/2024
Phone #:	(405) 607-6750
Fax #:
County:	OKLAHOMA
License:	3644
Dated:	5/19/2023
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:
HEALTHPRO HERITAGE AT HOME 2028 E MEMORIAL ROAD EDMOND OK 73013 Phone #: (405) 607-6750 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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