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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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RACHEL, DINDA CAROL TATE       
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: 16424 CO RD 3580
ADA OK 74820

Address last updated on 9/1/2024
Phone #: (580) 421-4658
Fax #:
County: PONTOTOC
License: 1073
Dated: 5/12/2000
Expires: 10/31/2025
Temp. Ltr. Issued: 1/20/2000
Temp. Ltr. Expires: 5/13/2000
License Type: Occupational Therapist
Specialty: School Based Practice (OT/OA only)
Sensory Integration (OT/OA only)
Gerontology (OT/OA only)
Handwriting (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:
16424 CO RD 3580
ADA OK 74820

Phone #: (580) 421-4658
Fax #:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
MARJORIE SUE PARKER OA 1115
AMBER NICOLE PAYNE OA 2305

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