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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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CARTER, MICHELLE CHERI       
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: IMAGINE PEDIATRIC THERAPY
12899 E 76TH ST N
STE 109
OWASSO OK 74055

Address last updated on 10/23/2024
Phone #: (918) 609-6003
Fax #:
County: TULSA
License: 1437
Dated: 11/1/2013
Expires: 10/31/2025
Temp. Ltr. Issued: 4/10/2024
Temp. Ltr. Expires: 5/16/2024
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:
IMAGINE PEDIATRIC THERAPY
12899 E 76TH ST N
STE 109
OWASSO OK 74055

Phone #: (918) 609-6003
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
JESSICA ALYN SANG OT 944

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