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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Sunday, November 17, 2024 3:48 AM CST
Next Update: Sunday, November 17, 2024 12:00 PM CST

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MILLER, SHELLY MARIE       
Practice Address: LEISURE VILLAGE - TULSA
2154 S 85TH E AVE
TULSA OK 74361

Address last updated on 10/25/2024
Phone #: (918) 622-4747
Fax #:
County: TULSA
License: 1340
Dated: 7/26/2012
Expires: 10/31/2025
Temp. Ltr. Issued: 7/6/2012
Temp. Ltr. Expires: 11/9/2012
License Type: Occupational Therapy Assistant
Specialty:
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:
LEISURE VILLAGE - TULSA
2154 S 85TH E AVE
TULSA OK 74361

Phone #: (918) 622-4747
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
CHELSEA DANIELLE HOLMES OT 1903

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