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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, January 6, 2025 6:42 PM CST
Next Update: Tuesday, January 7, 2025 2:50 AM CST

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GOODNIGHT, ANDY       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: WONDERFULLY MADE THERAPY GROUP
123 E 6TH STREET
OKMULGEE OK 74447-4603

Address last updated on 10/29/2024
Phone #: (918) 938-0887
Fax #:
County: OKMULGEE
License: 1078
Dated: 7/17/2009
Expires: 10/31/2025
Temp. Ltr. Issued: 5/11/2009
Temp. Ltr. Expires: 9/18/2009
License Type: Occupational Therapy 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:
WONDERFULLY MADE THERAPY GROUP
123 E 6TH STREET
OKMULGEE OK 74447-4603

Phone #: (918) 938-0887
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
STACIE L. PARKS OT 5695

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