GARDNER, DESIRAE LYNNE - Licensee Information

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Last Update: Tuesday, May 7, 2024 4:48 AM CDT
Next Update: Tuesday, May 7, 2024 12:00 PM CDT

GARDNER, DESIRAE LYNNE

Practice Address:	AEGIS THERAPIES 801 N WASHINGTON ST WEATHERFORD OK 73096 Address last updated on 1/30/2024
Phone #:	(580) 772-2865
Fax #:
County:	CUSTER
License:	3114
Dated:	7/16/2019
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:
AEGIS THERAPIES 801 N WASHINGTON ST WEATHERFORD OK 73096 Phone #: (580) 772-2865 Fax #:

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
RHONDA ELAINE BINGAMAN	PT	916

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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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