LATIOLAIS, DANIEL - Licensee Information

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

LATIOLAIS, DANIEL

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:	POWERBACK REHAB / PARC PLACE MEDICAL RESORT 1400 E MEMORIAL RD OKLAHOMA CITY OK 73131 Address last updated on 10/23/2024
Phone #:	(405) 875-0040
Fax #:
County:	OKLAHOMA
License:	1584
Dated:	3/10/2015
Expires:	10/31/2025
Temp. Ltr. Issued:	2/4/2015
Temp. Ltr. Expires:	6/26/2015
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:
POWERBACK REHAB / PARC PLACE MEDICAL RESORT 1400 E MEMORIAL RD OKLAHOMA CITY OK 73131 Phone #: (405) 875-0040 Fax #:

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
MELANIE AQUINO DUNNIWAY	OT	5433

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