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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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WAKEFIELD, JETTE       
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: REHABSOURCE
4350 WILL ROGERS PKWY #600
OKLAHOMA CITY OK 73108

Address last updated on 10/21/2024
Phone #: (405) 574-7061
Fax #:
County: OKLAHOMA
License: 1298
Dated: 11/1/2002
Expires: 10/31/2025
License Type: Occupational Therapist
Specialty: Hemiplegia (OT/OA only)
Activities of Daily Living (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:
REHABSOURCE
4350 WILL ROGERS PKWY #600
OKLAHOMA CITY OK 73108

Phone #: (405) 574-7061
Fax #:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
AVA JO HOLT OA 2535
PETER NDUATI MWANGI OA 1987
ANDREA MICHELLE ROSE OA 1228
ROBERT DAVID SHUPE OA 1094

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