COSTILLA, JULIE KAY - Licensee Information

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Last Update: Friday, April 26, 2024 2:08 PM CDT
Next Update: Friday, April 26, 2024 4:30 PM CDT

COSTILLA, JULIE KAY

Practice Address:	ST ANTHONY HOSPITAL 1000 N LEE OKLAHOMA CITY OK 73101 Address last updated on 9/6/2023
Phone #:	(405) 231-8956
Fax #:
County:	OKLAHOMA
License:	37
Dated:	2/20/1985
Expires:	10/31/2024
License Type:	Occupational Therapy Assistant
Specialty:	Mental Health (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:
ST ANTHONY HOSPITAL 1000 N LEE OKLAHOMA CITY OK 73101 Phone #: (405) 231-8956 Fax #:

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
JACQUELINE G ODGERS	OT	107

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Oklahoma State Board of Medical Licensure and Supervision :: 101 NE 51st St, Oklahoma City, OK 73105-1821
Main Number: (405) 962-1400 :: Fax: (405) 962-1440 :: Complaints outside 405 area code: 1-800-381-4519
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