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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Tuesday, April 30, 2024 4:03 AM CDT
Next Update: Tuesday, April 30, 2024 12:00 PM CDT

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GRAVITT, PENNY LYNN
Practice Address: 10108 E. 79TH ST. STE. A
TULSA OK 74133

Address last updated on 10/27/2023
Phone #: (918) 294-3902
Fax #:
County: TULSA
License: 1288
Dated: 8/13/2002
Expires: 10/31/2024
Temp. Ltr. Issued: 5/23/2002
Temp. Ltr. Expires: 9/21/2002
License Type: Occupational Therapist
Specialty: Activities of Daily Living (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:
10108 E. 79TH ST. STE. A
TULSA OK 74133

Phone #: (918) 294-3902
Fax #:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
ASHLEY VICTORIA BALOCCA OA 1722
TABITHA A STORY OA 1723

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