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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Saturday, December 21, 2024 6:44 PM CST
Next Update: Sunday, December 22, 2024 2:50 AM CST

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ELLIFRITT, STACY JAMES       
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: POST ACUTE MEDICAL
3219 S79TH E AVE
TULSA OK 74145

Address last updated on 10/23/2024
Phone #: (918) 663-8183
Fax #:
County: TULSA
License: 905
Dated: 11/9/2006
Expires: 10/31/2025
Temp. Ltr. Issued: 9/1/2005
Temp. Ltr. Expires: 9/23/2006
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:
POST ACUTE MEDICAL
3219 S79TH E AVE
TULSA OK 74145

Phone #: (918) 663-8183
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
JASON CHRISTOPHER GREEN OT 1745

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