FEWELL, JODIE DIANE - Licensee Information

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

FEWELL, JODIE DIANE

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:	RELIANT REHABILITATION - HASKELL NURSING & REHAB 1402 NW 7TH STREET STIGLER OK 74462 Address last updated on 10/1/2024
Phone #:	(918) 521-1948
Fax #:
County:	HASKELL
License:	1386
Dated:	4/22/2013
Expires:	10/31/2025
Temp. Ltr. Issued:	3/1/2013
Temp. Ltr. Expires:	7/12/2013
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:
RELIANT REHABILITATION - HASKELL NURSING & REHAB 1402 NW 7TH STREET STIGLER OK 74462 Phone #: (918) 521-1948 Fax #:

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
KIMBERLY KAY-LYNN CAIN	OT	5388

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