VICK, PAIGE ANNA NICOLE - Licensee Information

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Last Update: Saturday, December 21, 2024 3:49 AM CST
Next Update: Saturday, December 21, 2024 12:00 PM CST

VICK, PAIGE ANNA NICOLE

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:	SKILLED NURSING FACILITY 101 SHERRARD ST COLBERT OK 74733 Address last updated on 9/25/2024
Phone #:	(580) 296-4500
Fax #:
County:	BRYAN
License:	2215
Dated:	7/24/2020
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:
SKILLED NURSING FACILITY 101 SHERRARD ST COLBERT OK 74733 Phone #: (580) 296-4500 Fax #:

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
KAILASH CHANDRA SAHOO	OT	779

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