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Next Update: Monday, April 29, 2024 4:30 PM CDT

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FANNING, ASHLEY DIANE
Practice Address: NORTHWEST PHYSICAL THERAPY & SPORTS REHAB
1125 40TH STREET
SUITE D
WOODWARD OK 73801

Address last updated on 12/2/2023
Phone #: (580) 256-2102
Fax #: (580) 256-1410
County: WOODWARD
License: 4211
Dated: 7/24/2009
Expires: 1/31/2025
Temp. Ltr. Issued: 6/2/2009
Temp. Ltr. Expires: 11/20/2009
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:
NORTHWEST PHYSICAL THERAPY & SPORTS REHAB
1125 40TH STREET
SUITE D
WOODWARD OK 73801

Phone #: (580) 256-2102
Fax #: (580) 256-1410
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
HUNTER KEITH HALDERMAN TA 3431
CLAYTON RAY KINCANNON TA 3423
AMBER DAWN TAPIA TA 1345
BRANT MICHAEL THOMPSON TA 3583
KARI JO WEIAND TA 2235

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