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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, April 29, 2024 11:28 AM CDT
Next Update: Monday, April 29, 2024 4:30 PM CDT

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FAIRCLOTH, ASHLEY MICHELE
Practice Address: INTEGRIS JIM THORPE REHABILITATION HOSPITAL
4219 S. WESTERN AVENUE
OKLAHOMA CITY OK 73109

Address last updated on 1/1/2024
Phone #: (731) 446-2031
Fax #:
County: OKLAHOMA
License: 5815
Dated: 5/15/2020
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 JIM THORPE REHABILITATION HOSPITAL
4219 S. WESTERN AVENUE
OKLAHOMA CITY OK 73109

Phone #: (731) 446-2031
Fax #:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
LAURA ASHLEY BLALOCK TA 3376
AMBER RAYE BURDINE TA 1885
EMILY GRACE FULTON TA 3389
ALEXANDRIA GALE GOODRICH TA 2917
KAITLYN R GUNTER TA 2753
JONATHON HUNNER LANDRETH TA 3600
LINDSAY MICHELLE MAGEE TA 3637
LESLIE HEIDI ROBERTS TA 3050
AUBREY KNOX STANLEY TA 2764
AMANDA JUNE WALKER TA 2407

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