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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Saturday, December 21, 2024 3:49 AM CST
Next Update: Saturday, December 21, 2024 12:00 PM CST

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LIMON, CAROLINA       
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: LIGHT OF MINE PEDIATRIC & ADOLESCENT THERAPY SERV
12589 S 7TH PLACE
JENKS OK 74037

Address last updated on 10/29/2024
Phone #: (918) 520-6166
Fax #:
County: TULSA
License: 2630
Dated: 9/11/2024
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:
LIGHT OF MINE PEDIATRIC & ADOLESCENT THERAPY SERV
12589 S 7TH PLACE
JENKS OK 74037

Phone #: (918) 520-6166
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
MEGAN ELIZABETH ANN HOFFMAN OT 5304
KATELYN NICOLE INMAN OT 5605
HEATHER LEANN SEAWELL OT 1897

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