PENDERGRAFT, TREVOR WADE - Licensee Information

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Last Update: Sunday, April 28, 2024 1:44 PM CDT
Next Update: Sunday, April 28, 2024 4:30 PM CDT

PENDERGRAFT, TREVOR WADE

Practice Address:	THERAPY MANAGEMENT CORPORATION 613 E ELM ST SEDAN KS 67361 Address last updated on 2/6/2024
Phone #:	(918) 323-2962
Fax #:
County:	NOT OKLAHOMA
License:	3465
Dated:	8/6/2021
Expires:	1/31/2023
License Type:	Physical Therapist Assistant
Specialty:

Status:	Inactive
Status Class:	Expired License
Restricted to:
CME Year:	2024

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:
THERAPY MANAGEMENT CORPORATION 613 E ELM ST SEDAN KS 67361 Phone #: (918) 323-2962 Fax #:

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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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