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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, April 19, 2024 6:57 PM CDT
Next Update: Saturday, April 20, 2024 2:50 AM CDT

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HAWORTH, TAMMIE LEE
Practice Address: QUEST PEDIATRIC
9201 S I-35 SERVICE RD MOORE OK 73160
MOORE OK 73106

Address last updated on 10/5/2023
Phone #: (405) 601-4303
Fax #:
County: CLEVELAND
License: 1503
Dated: 8/8/2014
Expires: 10/31/2024
Temp. Ltr. Issued: 6/5/2014
Temp. Ltr. Expires: 11/7/2014
License Type: Occupational Therapy Assistant
Specialty: Pediatrics (OT/OA only)
Mental 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:
QUEST PEDIATRIC
9201 S I-35 SERVICE RD MOORE OK 73160
MOORE OK 73106

Phone #: (405) 601-4303
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
PAULA MICHELLE LEWIS OT 645
ASHLEY DANIELLE MATTHEWS OT 1379

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