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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, January 6, 2025 6:42 PM CST
Next Update: Tuesday, January 7, 2025 2:50 AM CST

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MAUPIN, MELISSA ROSE       
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: REVIVE THERAPY & WELLNESS
629 SW 89TH ST
OKLAHOMA CITY OK 73139

Address last updated on 10/31/2024
Phone #: (405) 534-8020
Fax #:
County: OKLAHOMA
License: 2187
Dated: 2/4/2020
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:
REVIVE THERAPY & WELLNESS
629 SW 89TH ST
OKLAHOMA CITY OK 73139

Phone #: (405) 534-8020
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
SARAH VINZANT HENDRIX OT 1564
COURTNEY PAIGE STEPHEN OT 5701

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