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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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MILLER, AUDREY       
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: ST JOHN REHAB HOSPITAL OF OWASSO/ENCOMPASS HEALTH
13402 E 86TH ST N
OWASSO OK 74055

Address last updated on 11/6/2024
Phone #: (918) 401-3100
Fax #:
County: TULSA
License: 2081
Dated: 4/30/2019
Expires: 10/31/2025
Temp. Ltr. Issued: 3/6/2019
Temp. Ltr. Expires: 5/9/2019
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:
ST JOHN REHAB HOSPITAL OF OWASSO/ENCOMPASS HEALTH
13402 E 86TH ST N
OWASSO OK 74055

Phone #: (918) 401-3100
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
ELEANOR MARGARET GAJAN OT 5675
STEPHANI LONG OT 5553

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