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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, April 24, 2024 3:08 PM CDT
Next Update: Thursday, April 25, 2024 2:50 AM CDT

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HAVENS, ANGELA GALE
Practice Address: ELEVATE PEDIATRIC THERAPIES
1110 W WILL ROGERS BLVD.
CLAREMORE OK 74017

Address last updated on 12/1/2023
Phone #: (918) 341-4343
Fax #: (918) 341-8687
County: ROGERS
License: 1094
Dated: 11/2/2000
Expires: 10/31/2024
License Type: Occupational Therapist
Specialty: Pediatrics (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:
ELEVATE PEDIATRIC THERAPIES
1110 W WILL ROGERS BLVD.
CLAREMORE OK 74017

Phone #: (918) 341-4343
Fax #: (918) 341-8687
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
SHELBY CHILDS OA 1713
BLAIR SHEREE KERNS OA 2292

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