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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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HAWORTH, TAMMIE LEE       
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: QUEST PEDIATRIC
9201 S I-35 SERVICE RD MOORE OK 73160
MOORE OK 73106

Address last updated on 10/28/2024
Phone #: (405) 601-4303
Fax #:
County: CLEVELAND
License: 1503
Dated: 8/8/2014
Expires: 10/31/2025
Temp. Ltr. Issued: 6/5/2014
Temp. Ltr. Expires: 11/7/2014
License Type: Occupational Therapy Assistant
Specialty: Pediatrics (OT/OA only)
Mental Health (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:
QUEST PEDIATRIC
9201 S I-35 SERVICE RD MOORE OK 73160
MOORE OK 73106

Phone #: (405) 601-4303
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
PAULA MICHELLE LEWIS OT 645

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