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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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DAY, JENNIFER DAWN       
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: FUNDAMENTALS PEDIATRIC THERAPY CENTER
1402 BROOKEVIEW
ARDMORE OK 73401

Address last updated on 10/31/2024
Phone #: (580) 850-1160
Fax #:
County: CARTER
License: 1332
Dated: 12/21/2012
Expires: 10/31/2025
Temp. Ltr. Issued: 8/24/2012
Temp. Ltr. Expires: 1/11/2013
License Type: Occupational Therapy Assistant
Specialty: Activities of Daily Living (OT/OA only)
Attention Deficit Hyperactivity Disorder (OT/OA on
Autism (OT/OA only)
Fall Prevention (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:
FUNDAMENTALS PEDIATRIC THERAPY CENTER
1402 BROOKEVIEW
ARDMORE OK 73401

Phone #: (580) 850-1160
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
JILLIAN DIANE GARRETT OT 5358
ELISHEA HYECHE-BARLOW OT 591

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