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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Tuesday, April 23, 2024 1:43 PM CDT
Next Update: Tuesday, April 23, 2024 4:30 PM CDT

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JACOBS, HEAVEN LEE NICOLE
Practice Address: OCCUPATIONAL THERAPY CONSULTANTS
10320 S PENN AVE STE 302
OKLAHOMA CITY OK 73159

Address last updated on 4/8/2024
Phone #: (405) 437-0056
Fax #:
County: OKLAHOMA
License: 1832
Dated: 2/8/2017
Expires: 10/31/2024
License Type: Occupational Therapy Assistant
Specialty:
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:
OCCUPATIONAL THERAPY CONSULTANTS
10320 S PENN AVE STE 302
OKLAHOMA CITY OK 73159

Phone #: (405) 437-0056
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
SONJA KAY MANGRUM OT 1373
AMY ORVILETA MEEK OT 1034
BRIANNA ASHLEY TRAVIS OT 5777

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