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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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TIETZ, JENNIFER ANNITA
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| Practice Address: |
12451 E. 100TH ST. N.
OWASSO OK 74055
Address last updated on 10/1/2024 |
| Phone #: |
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| Fax #: |
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| County: |
TULSA |
| License: |
2616 |
| Dated: |
7/1/2024 |
| Expires: |
10/31/2025 |
| License Type: |
Occupational Therapy Assistant |
| Specialty: |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| CME Year: |
2026 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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Primary Supervisor(s):
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| Name: |
Type: |
License Number: |
Full/Part Time: |
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MELISSA CRANE
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OT |
5829 |
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