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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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MANTZ, TYLA ANN       
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: ST. MARY'S REGIONAL MEDICAL CENTER
305 S 5TH STREET
ENID OK 73703

Address last updated on 10/28/2024
Phone #: (580) 249-3075
Fax #:
County: GARFIELD
License: 1007
Dated: 5/14/1999
Expires: 10/31/2025
Temp. Ltr. Issued: 6/12/1998
Temp. Ltr. Expires: 7/24/1999
License Type: Occupational Therapist
Specialty: Activities of Daily Living (OT/OA only)
Cognition (OT/OA only)
Hip Replacement (OT/OA only)
Acute Care (OT/OA only)
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:
ST. MARY'S REGIONAL MEDICAL CENTER
305 S 5TH STREET
ENID OK 73703

Phone #: (580) 249-3075
Fax #:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
DORIS ANN CAMPBELL OA 122
CLAIRE MARIE HAFFNER OA 2154

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