WALLACE, KIRSTEN ANN - Licensee Information

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WALLACE, KIRSTEN ANN

Practice Address:	INTEGRIS HEALTH EDMOND JIM THORPE 4509 INTEGRIS PARKWAY SUITE 100 EDMOND OK 73034 Address last updated on 12/27/2023
Phone #:	(405) 657-3800
Fax #:	(405) 657-3801
County:	OKLAHOMA
License:	1940
Dated:	9/12/1992
Expires:	1/31/2025
License Type:	Physical Therapist
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:
INTEGRIS HEALTH EDMOND JIM THORPE 4509 INTEGRIS PARKWAY SUITE 100 EDMOND OK 73034 Phone #: (405) 657-3800 Fax #: (405) 657-3801

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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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