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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Sunday, October 13, 2024 6:47 PM CDT
Next Update: Monday, October 14, 2024 2:50 AM CDT

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STEPHENSON, SHADOW DRUM       
Practice Address: MAPLE LAWN NURSING & REHAB
800 ARAPAHO AVE
HYDRO OK 73048

Address last updated on 4/26/2024
Phone #: (405) 663-2488
Fax #:
County: CADDO
License: 2959
Dated: 7/18/2018
Expires: 1/31/2025
Temp. Ltr. Issued: 7/17/2018
Temp. Ltr. Expires: 9/13/2018
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:
MAPLE LAWN NURSING & REHAB
800 ARAPAHO AVE
HYDRO OK 73048

Phone #: (405) 663-2488
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
ALEXIS SCHMIDT PTC 12281

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