HAVENS, ANGELA GALE - Licensee Information

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

HAVENS, ANGELA GALE

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:	ELEVATE PEDIATRIC THERAPIES 1110 W WILL ROGERS BLVD. CLAREMORE OK 74017 Address last updated on 10/21/2024
Phone #:	(918) 341-4343
Fax #:	(918) 341-8687
County:	ROGERS
License:	1094
Dated:	11/2/2000
Expires:	10/31/2025
License Type:	Occupational Therapist
Specialty:	Pediatrics (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:
ELEVATE PEDIATRIC THERAPIES 1110 W WILL ROGERS BLVD. CLAREMORE OK 74017 Phone #: (918) 341-4343 Fax #: (918) 341-8687

Name:	Type:	License Number:
Primary Supervisees(s):
SHELBY CHILDS	OA	1713
BLAIR SHEREE KERNS	OA	2292

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