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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, May 1, 2024 5:08 PM CDT
Next Update: Thursday, May 2, 2024 2:50 AM CDT

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GIBULA, SHAELLEN ELIZABETH
Practice Address: REVIVE THEARPY AND WELLNESS
629 SW 59TH ST
OKLAHOMA CITY OK 73139

Address last updated on 4/18/2024
Phone #: (405) 493-9935
Fax #:
County: OKLAHOMA
License: 2201
Dated: 11/1/2020
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:
REVIVE THEARPY AND WELLNESS
629 SW 59TH ST
OKLAHOMA CITY OK 73139

Phone #: (405) 493-9935
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
SARAH VINZANT HENDRIX OT 1564

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