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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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KULWICKI, GAYLA JO       
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: MEDICALODGES DEWEY
430 BARTLES RD
DEWEY OK 74006

Address last updated on 10/30/2024
Phone #: (918) 534-2848
Fax #:
County: WASHINGTON
License: 1138
Dated: 2/16/2010
Expires: 10/31/2025
Temp. Ltr. Issued: 2/12/2010
Temp. Ltr. Expires: 3/11/2010
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:
MEDICALODGES DEWEY
430 BARTLES RD
DEWEY OK 74006

Phone #: (918) 534-2848
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
SHELLY MARIE NORRIS OT 550

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