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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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BALENTI, SHANNON L.       
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: LIVING SKILLS THERAPY
4314 QUAIL RIDGE
ENID OK 73703

Address last updated on 10/22/2024
Phone #: (580) 402-0589
Fax #:
County: GARFIELD
License: 501
Dated: 5/9/1992
Expires: 10/31/2025
License Type: Occupational Therapist
Specialty: Physical Disabilities (OT/OA only)
Purposeful Activities (OT/OA only)
Activities of Daily Living (OT/OA only)
Fractures/General Orthopedic Treatment (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:
LIVING SKILLS THERAPY
4314 QUAIL RIDGE
ENID OK 73703

Phone #: (580) 402-0589
Fax #:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
JAMI LYNETTE BERGDALL OA 1152
DORIS ANN CAMPBELL OA 122
CLAIRE MARIE HAFFNER OA 2154
CONNER CELEA ZALOUDEK OA 1884

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