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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST

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WIARD, KRISTIN JANON       
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: PAM HEALTH REHAB HOSPITAL OF TULSA
10020 E 91ST STREET
TULSA OK 74133

Address last updated on 11/8/2024
Phone #: (918) 940-8801
Fax #:
County: TULSA
License: 1304
Dated: 7/12/2012
Expires: 10/31/2025
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:
PAM HEALTH REHAB HOSPITAL OF TULSA
10020 E 91ST STREET
TULSA OK 74133

Phone #: (918) 940-8801
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
HEATHER MARIE COZAD OT 1810

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