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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, May 17, 2024 7:03 PM CDT
Next Update: Saturday, May 18, 2024 2:50 AM CDT

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DETTEN, MICHAEL DAVID       
Practice Address: PHYSICAL THERAPY CENTRAL - EAST EDMOND
3633 E. 2ND STREET
EDMOND OK 73034

Address last updated on 4/30/2024
Phone #: (405) 297-4575
Fax #:
County: OKLAHOMA
License: 4958
Dated: 6/20/2015
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:
PHYSICAL THERAPY CENTRAL - EAST EDMOND
3633 E. 2ND STREET
EDMOND OK 73034

Phone #: (405) 297-4575
Fax #:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
JESSIE NICHOLE COPEMAN TA 2977
PIRANA MARTINEZ TA 3054
REBECCA ANN SCHWARTZ TA 3374
SHADERA DIANE WIGINTON TA 1417

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