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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, September 27, 2024 3:50 AM CDT
Next Update: Friday, September 27, 2024 12:00 PM CDT

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SMITH, MARTHA CELICA       
Practice Address: 1011 14TH AVE NW
ARDMORE OK 73401

Address last updated on 9/20/2024
Phone #:
Fax #:
County: CARTER
License: 2098
Dated: 4/30/2019
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:
1011 14TH AVE NW
ARDMORE OK 73401

Phone #:
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
MARIAH SHILOH DIEKER OT 1865

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