MARTIN, SUSAN ELAINE - Licensee Information

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Last Update: Friday, April 19, 2024 3:56 AM CDT
Next Update: Friday, April 19, 2024 12:00 PM CDT

MARTIN, SUSAN ELAINE

Practice Address:	ASCENSION ST JOHN SAPULPA 1004 EAST BRYAN SAPULPA OK 74066 Address last updated on 1/15/2024
Phone #:	(918) 227-8607
Fax #:	(918) 224-9227
County:	CREEK
License:	822
Dated:	10/22/1999
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:
ASCENSION ST JOHN SAPULPA 1004 EAST BRYAN SAPULPA OK 74066 Phone #: (918) 227-8607 Fax #: (918) 224-9227

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
SAMONE MALLOY	PT	4695

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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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