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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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LANGSTON, ALEXIS ERIN       
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: ELITE PEDIATRIC THERAPY
4800 W. SAN ANTONIO ST.
ST 101
BROKEN ARROW OK 74012

Address last updated on 10/24/2024
Phone #: (918) 417-8740
Fax #: (918) 410-0299
County: TULSA
License: 2107
Dated: 6/7/2017
Expires: 10/31/2025
License Type: Occupational Therapist
Specialty: Pediatrics (OT/OA only)
Cerebral Palsy (OT/OA only)
Motor Development (Movement) (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:
ELITE PEDIATRIC THERAPY
4800 W. SAN ANTONIO ST.
ST 101
BROKEN ARROW OK 74012

Phone #: (918) 417-8740
Fax #: (918) 410-0299
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
MADISON NICOLE MALCOLM OA 2281

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