HOLLIFIELD, SHERIDAN DENAE - Licensee Information

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Last Update: Saturday, December 21, 2024 6:44 PM CST
Next Update: Sunday, December 22, 2024 2:50 AM CST

HOLLIFIELD, SHERIDAN DENAE

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:	KELLY B TODD CEREBRAL PALSY & NEUROMUSCULAR CENTER 1111 N 36TH ST MUSKOGEE OK 74401 Address last updated on 10/29/2024
Phone #:	(918) 708-2119
Fax #:
County:	MUSKOGEE
License:	1434
Dated:	5/23/2014
Expires:	10/31/2025
Temp. Ltr. Issued:	7/11/2013
Temp. Ltr. Expires:	7/11/2014
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:
KELLY B TODD CEREBRAL PALSY & NEUROMUSCULAR CENTER 1111 N 36TH ST MUSKOGEE OK 74401 Phone #: (918) 708-2119 Fax #:

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
CAITLIN POTTORF HOAGLAND	OT	2117

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