ELLIFRITT, STACY JAMES - Licensee Information

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Last Update: Monday, May 6, 2024 4:03 AM CDT
Next Update: Monday, May 6, 2024 12:00 PM CDT

ELLIFRITT, STACY JAMES

Practice Address:	POST ACUTE MEDICAL 3219 S79TH E AVE TULSA OK 74145 Address last updated on 10/21/2023
Phone #:	(918) 663-8183
Fax #:
County:	TULSA
License:	905
Dated:	11/9/2006
Expires:	10/31/2024
Temp. Ltr. Issued:	9/1/2005
Temp. Ltr. Expires:	9/23/2006
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:
POST ACUTE MEDICAL 3219 S79TH E AVE TULSA OK 74145 Phone #: (918) 663-8183 Fax #:

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
JASON CHRISTOPHER GREEN	OT	1745

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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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