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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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AGUILAR, JAILENE       
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: THERAPITAS - WALNUT SQUARE
2219 SW 74TH STREET STE 109-115
OKLAHOMA CITY OK 73159

Address last updated on 10/22/2024
Phone #: (405) 355-3239
Fax #:
County: OKLAHOMA
License: 2641
Dated: 9/6/2024
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:
THERAPITAS - WALNUT SQUARE
2219 SW 74TH STREET STE 109-115
OKLAHOMA CITY OK 73159

Phone #: (405) 355-3239
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
SHANNON NICOLE GODFREY OT 5597

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