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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, April 25, 2024 4:12 PM CDT
Next Update: Friday, April 26, 2024 2:50 AM CDT

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HERMAN, CHARISSA JOY
Practice Address: PROVIDENCE HOMECARE
2831 NW 59
OKLAHOMA CITY OK 73112

Address last updated on 10/24/2023
Phone #: (405) 602-3295
Fax #:
County: OKLAHOMA
License: 1035
Dated: 11/1/2008
Expires: 10/31/2024
Temp. Ltr. Issued: 6/26/2008
Temp. Ltr. Expires: 11/7/2008
License Type: Occupational Therapy Assistant
Specialty: Activities of Daily Living (OT/OA only)
Home and Community Health (OT/OA only)
Status: Active
Status Class: Fully Licensed
Restricted to:
CME Year: 2024
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:
PROVIDENCE HOMECARE
2831 NW 59
OKLAHOMA CITY OK 73112

Phone #: (405) 602-3295
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
CHARLES GABRIEL CHODRICK OT 1871

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