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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Saturday, December 21, 2024 3:49 AM CST
Next Update: Saturday, December 21, 2024 12:00 PM CST

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TAYLOR, CHASSICA LADON       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: 1029 E WASHINGTON AVE
MCALESTER OK 74501

Address last updated on 10/19/2024
Phone #:
Fax #:
County: PITTSBURG
License: 1049
Dated: 11/1/2008
Expires: 10/31/2025
Temp. Ltr. Issued: 8/29/2008
Temp. Ltr. Expires: 11/7/2008
License Type: Occupational Therapy Assistant
Specialty: School Based Practice (OT/OA only)
Home and Community Health (OT/OA only)
Status: Active
Status Class: Fully Licensed
Restricted to:
CME Year: 2026
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:
1029 E WASHINGTON AVE
MCALESTER OK 74501

Phone #:
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
MYKAL LYNN JORDAN OT 1773
LINDSAY DAWN SANFORD OT 1621
CHRISTOPHER WILLIAM WADE OT 2166

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