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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Saturday, October 19, 2024 1:24 PM CDT
Next Update: Saturday, October 19, 2024 4:30 PM CDT

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MIZE, JOSHUA DANIEL       
Practice Address: REVIVE THERAPY & WELLNESS
629 SW 89TH ST
OKLAHOMA CITY OK 73139

Address last updated on 7/31/2024
Phone #: (405) 496-9955
Fax #:
County: OKLAHOMA
License: 1771
Dated: 7/25/2016
Expires: 10/31/2024
License Type: Occupational Therapy Assistant
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
CME Year: 2024
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:
REVIVE THERAPY & WELLNESS
629 SW 89TH ST
OKLAHOMA CITY OK 73139

Phone #: (405) 496-9955
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
SARAH VINZANT HENDRIX OT 1564

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