PREWITT, LOGAN TAYLOR - Licensee Information

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

PREWITT, LOGAN TAYLOR

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:	EASTERN OKLAHOMA MEDICAL CENTER 105 S WALL ST POTEAU OK 74953 Address last updated on 10/24/2024
Phone #:	(918) 647-8161
Fax #:
County:	LEFLORE
License:	2062
Dated:	1/29/2019
Expires:	10/31/2025
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:
EASTERN OKLAHOMA MEDICAL CENTER 105 S WALL ST POTEAU OK 74953 Phone #: (918) 647-8161 Fax #:

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
AMY ELIZABETH WHITWORTH	OT	1540

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