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Last Update: Tuesday, December 24, 2024 1:13 PM CST
Next Update: Tuesday, December 24, 2024 4:30 PM CST

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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: 3-2600 KAUMUALII HWY.
STE. 1300 #423
LIHUE HI 96766

Address last updated on 10/29/2024
Phone #: (405) 410-8570
Fax #:
County: NOT OKLAHOMA
License: 674
Dated: 3/21/1995
Expires: 10/31/2025
Temp. Ltr. Issued: 2/6/1995
Temp. Ltr. Expires: 3/25/1995
License Type: Occupational Therapist
Specialty: Pediatrics (OT/OA only)
Cognition (OT/OA only)
Degenerative Neurologic Disorders (OT/OA only)
Dysphagia/Feeding Disorders (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:
3-2600 KAUMUALII HWY.
STE. 1300 #423
LIHUE HI 96766

Phone #: (405) 410-8570
Fax #:

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