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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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NOVOTNY, TINA MARIE       
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: 7738 N OWASSO EXPY
OWASSO OK 74055

Address last updated on 11/5/2024
Phone #: (918) 392-1482
Fax #:
County: TULSA
License: 5883
Dated: 2/20/2024
Expires: 10/31/2025
License Type: Occupational Therapist
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:
7738 N OWASSO EXPY
OWASSO OK 74055

Phone #: (918) 392-1482
Fax #:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
STEPHANNIE J BETHEL OA 2548
ASHTON DANIELLE CARTER OA 2529
MELISSA SUE HERMAN OA 1853
MARY KATHERINE NORUM OA 2338

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