BLOSSOM, REBECCA RENAE - Licensee Information

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Last Update: Monday, May 13, 2024 1:43 PM CDT
Next Update: Monday, May 13, 2024 4:30 PM CDT

BLOSSOM, REBECCA RENAE

Practice Address:	MAPLEWOOD CARE CENTER 6202 E 61ST STREET TULSA OK 74136 Address last updated on 5/8/2024
Phone #:	(918) 494-8830
Fax #:
County:	TULSA
License:	1945
Dated:	10/8/2010
Expires:	1/31/2025
License Type:	Physical Therapist Assistant
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:
MAPLEWOOD CARE CENTER 6202 E 61ST STREET TULSA OK 74136 Phone #: (918) 494-8830 Fax #:

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
MICHAEL GLEN GRIFFITH	PT	3524

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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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