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Last Update: Saturday, October 19, 2024 1:24 PM CDT
Next Update: Saturday, October 19, 2024 4:30 PM CDT
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MILLER, SUSSAN ILEANA
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Practice Address: |
PROHAB THERAPY SPECIALISTS
1107 W BROADWAY ST
ARDMORE OK 73401
Address last updated on 10/6/2024 |
Phone #: |
(580) 226-5566 |
Fax #: |
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County: |
CARTER |
License: |
1182 |
Dated: |
1/21/2011 |
Expires: |
10/31/2025 |
Temp.
Ltr.
Issued:
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12/27/2010 |
Temp.
Ltr.
Expires:
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3/11/2011 |
License Type: |
Occupational Therapy Assistant |
Specialty: |
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Status: |
Active |
Status Class: |
Fully Licensed |
Restricted to: |
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CME Year: |
2026 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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Primary Supervisor(s):
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Name: |
Type: |
License Number: |
Full/Part Time: |
CHERYL RENEE GENN
|
OT |
2090 |
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