ELDRIDGE, CRYSTAL WYNELL - Licensee Information

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ELDRIDGE, CRYSTAL WYNELL

Practice Address:	IMAGINE PEDIATRIC THERAPY 12899 E. 76TH ST. N. SUITE 109 OWASSO OK 74055 Address last updated on 1/9/2018
Phone #:	(918) 609-6003
Fax #:
County:	TULSA
License:	3922
Dated:	7/13/2006
Expires:	1/31/2019
Temp. Ltr. Issued:	6/1/2006
Temp. Ltr. Expires:	9/23/2006
License Type:	Physical Therapist
Specialty:

Status:	Inactive
Status Class:	Expired License
Restricted to:
CME Year:	2020

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:
IMAGINE PEDIATRIC THERAPY 12899 E. 76TH ST. N. SUITE 109 OWASSO OK 74055 Phone #: (918) 609-6003 Fax #:

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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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