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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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DIRICKSON, KARLA JEAN       
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: ABC OT
2957 POPLAR DR
MOORE OK 73160

Address last updated on 10/16/2024
Phone #: (405) 410-4472
Fax #:
County: CLEVELAND
License: 631
Dated: 12/22/2000
Expires: 10/31/2025
Temp. Ltr. Issued: 11/17/2000
Temp. Ltr. Expires: 1/31/2001
License Type: Occupational Therapy Assistant
Specialty: School Based Practice (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:
ABC OT
2957 POPLAR DR
MOORE OK 73160

Phone #: (405) 410-4472
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
PATRICIA ANN HEALY OT 1278

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