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Last Update: Monday, April 29, 2024 4:03 AM CDT
Next Update: Monday, April 29, 2024 12:00 PM CDT
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STORY, TABITHA A |
| Practice Address: |
AMEDISYS HOME HEALTH
10108 E 79TH ST STE A
TULSA OK 74133
Address last updated on 10/14/2023 |
| Phone #: |
(918) 294-3902 |
| Fax #: |
|
| County: |
TULSA |
| License: |
1723 |
| Dated: |
6/30/2016 |
| Expires: |
10/31/2024 |
|
Temp.
Ltr.
Issued:
|
5/30/2023 |
|
Temp.
Ltr.
Expires:
|
9/14/2023 |
| License Type: |
Occupational Therapy Assistant |
| Specialty: |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| CME Year: |
2024 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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Primary Supervisor(s):
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| Name: |
Type: |
License Number: |
Full/Part Time: |
|
PENNY LYNN GRAVITT
|
OT |
1288 |
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