WEDEL, ETHAN JOSIAH - 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

WEDEL, ETHAN JOSIAH

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:	KID'S CHOICE THERAPY & PLAY CENTER 1300 HOPPE BLVD STE 3 ADA OK 74820 Address last updated on 10/30/2024
Phone #:	(405) 857-8280
Fax #:
County:	PONTOTOC
License:	2519
Dated:	7/12/2023
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:
KID'S CHOICE THERAPY & PLAY CENTER 1300 HOPPE BLVD STE 3 ADA OK 74820 Phone #: (405) 857-8280 Fax #:

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
STEPHANIE JOANN WHITNEY	OT	1874

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