STUART, PAIGE NICOLE - 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

STUART, PAIGE NICOLE

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:	THE CENTER FOR INDIVIDUALS WITH PHYSICAL CHALLENGE 815 S UTICA TULSA OK 74104 Address last updated on 11/4/2024
Phone #:	(918) 584-8607 x503
Fax #:
County:	TULSA
License:	103
Dated:	2/8/2011
Expires:	11/30/2026
Temp. Ltr. Issued:	11/19/2010
Temp. Ltr. Expires:	3/11/2011
License Type:	Therapeutic Recreation Specialist
Specialty:

Status:	Active
Status Class:	Fully Licensed
Restricted to:
CME Year:	0

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:
THE CENTER FOR INDIVIDUALS WITH PHYSICAL CHALLENGE 815 S UTICA TULSA OK 74104 Phone #: (918) 584-8607 x503 Fax #:

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisees(s):
KELLI MARIE DECKER	TRS	282

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