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Next Update: Thursday, May 2, 2024 2:50 AM CDT
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BLOMSTROM, MICHAEL WAYNE |
| Practice Address: |
JIM THORPE REHAB
1401 SW 34TH ST. SUITE 300
MOORE OK 73160
Address last updated on 12/2/2023 |
| Phone #: |
(405) 793-7885 |
| Fax #: |
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| County: |
CLEVELAND |
| License: |
691 |
| Dated: |
8/21/1998 |
| Expires: |
1/31/2025 |
|
Temp.
Ltr.
Issued:
|
5/21/1998 |
|
Temp.
Ltr.
Expires:
|
9/26/1998 |
| License Type: |
Physical Therapist Assistant |
| Specialty: |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| CME Year: |
2026 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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