HACKWORTH, LORI DAWN - Licensee Information

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Last Update: Tuesday, April 23, 2024 6:58 PM CDT
Next Update: Wednesday, April 24, 2024 2:50 AM CDT

HACKWORTH, LORI DAWN

Practice Address:	TUTTLE CARE CENTER 104 SE 4TH TUTTLE OK 73089 Address last updated on 12/26/2023
Phone #:	(405) 381-3363
Fax #:
County:	GRADY
License:	374
Dated:	12/15/1994
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:
TUTTLE CARE CENTER 104 SE 4TH TUTTLE OK 73089 Phone #: (405) 381-3363 Fax #:

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
GISELLE OVALLES SALIOA	PTC	10109

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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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