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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, April 18, 2024 6:52 PM CDT
Next Update: Friday, April 19, 2024 2:50 AM CDT

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SHUPE, ROBERT DAVID
Practice Address: BAPTIST VILLAGE OKC
9700 WASHBURN AVE
OKLAHOMA CITY OK 73162

Address last updated on 9/1/2023
Phone #:
Fax #:
County: OKLAHOMA
License: 1094
Dated: 7/10/2009
Expires: 10/31/2024
Temp. Ltr. Issued: 6/5/2009
Temp. Ltr. Expires: 9/18/2009
License Type: Occupational Therapy Assistant
Specialty: Spinal Cord Injuries (OT/OA only)
Status: Active
Status Class: Fully Licensed
Restricted to:
CME Year: 2024
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:
BAPTIST VILLAGE OKC
9700 WASHBURN AVE
OKLAHOMA CITY OK 73162

Phone #:
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
ERIN ELIZABETH LARSON OT 5895
SARA TRAVIS MANNINGER OT 1999
JETTE WAKEFIELD OT 1298

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