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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, April 29, 2024 4:03 AM CDT
Next Update: Monday, April 29, 2024 12:00 PM CDT

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ELLISON, KYLI LOVE
Practice Address: REHAB SOURCE
4350 WILL ROGERS PARKWAY SUITE 600
OKLAHOMA CITY OK 73108

Address last updated on 12/29/2023
Phone #: (405) 948-2813
Fax #:
County: OKLAHOMA
License: 2382
Dated: 11/2/2021
Expires: 10/31/2024
Temp. Ltr. Issued: 9/20/2021
Temp. Ltr. Expires: 11/18/2021
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:
REHAB SOURCE
4350 WILL ROGERS PARKWAY SUITE 600
OKLAHOMA CITY OK 73108

Phone #: (405) 948-2813
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
STACY DYAN BELANGER OT 1622

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