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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, April 19, 2024 6:57 PM CDT
Next Update: Saturday, April 20, 2024 2:50 AM CDT

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WAGNER, LESLIE LIGHTFOOT
Practice Address: COMMUNITY HOSPITAL OUTPATIENT THERAPY
10001 SOUTH WESTERN #102
OKLAHOMA CITY OK 73139

Address last updated on 1/8/2024
Phone #: (405) 691-5434
Fax #:
County: OKLAHOMA
License: 841
Dated: 12/2/1999
Expires: 1/31/2025
Temp. Ltr. Issued: 5/27/1999
Temp. Ltr. Expires: 1/31/2000
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:
COMMUNITY HOSPITAL OUTPATIENT THERAPY
10001 SOUTH WESTERN #102
OKLAHOMA CITY OK 73139

Phone #: (405) 691-5434
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
MICHAEL BRAD FINLEY PT 1517

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