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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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TILLIS, KYLA LYNN       
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: LAWTON POST ACUTE & REHAB
1700 NW FT SILL BLVD
LAWTON OK 73507

Address last updated on 12/11/2024
Phone #: (580) 355-1616
Fax #:
County: COMANCHE
License: 2018
Dated: 7/26/2018
Expires: 10/31/2025
Temp. Ltr. Issued: 5/29/2018
Temp. Ltr. Expires: 7/26/2018
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:
LAWTON POST ACUTE & REHAB
1700 NW FT SILL BLVD
LAWTON OK 73507

Phone #: (580) 355-1616
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
TARA CHRISTINE GARNEAU OT 1787
PRUDENCE GENSMAN OT 2084

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