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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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BINGHAM, MICHELLE ANNE       
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: EPWORTH VILLA SNF/EPWORTH AT HOME-SELECT REHAB
14901 N. PENN AVE
OKLAHOMA CITY OK 73134

Address last updated on 10/19/2024
Phone #: (405) 486-1355
Fax #:
County: OKLAHOMA
License: 1250
Dated: 5/17/2012
Expires: 10/31/2025
License Type: Occupational Therapy Assistant
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
CME Year: 2026
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
4/6/2022 Probation Ended
4/3/2017 Voluntary Submittal to Jurisdiction
11/9/2016 Suspension, License
Board Filings and/or Orders:
04/06/2017
11/09/2016
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Locations: Hours: Languages:
EPWORTH VILLA SNF/EPWORTH AT HOME-SELECT REHAB
14901 N. PENN AVE
OKLAHOMA CITY OK 73134

Phone #: (405) 486-1355
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
GWENDA MAUREEN SHARP OT 249
DEBRA ANNE SMITH OT 5805
LORI ANN SMITH OT 881

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