PREWITT, LOGAN TAYLOR - Licensee Information

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Last Update: Thursday, May 2, 2024 5:08 PM CDT
Next Update: Friday, May 3, 2024 2:50 AM CDT

PREWITT, LOGAN TAYLOR

Practice Address:	EASTERN OKLAHOMA MEDICAL CENTER 105 S WALL ST POTEAU OK 74953 Address last updated on 4/15/2024
Phone #:	(918) 647-8161
Fax #:
County:	LEFLORE
License:	2062
Dated:	1/29/2019
Expires:	10/31/2024
License Type:	Occupational Therapy Assistant
Specialty:

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:
EASTERN OKLAHOMA MEDICAL CENTER 105 S WALL ST POTEAU OK 74953 Phone #: (918) 647-8161 Fax #:

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
AMY ELIZABETH WHITWORTH	OT	1540

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Oklahoma State Board of Medical Licensure and Supervision :: 101 NE 51st St, Oklahoma City, OK 73105-1821
Main Number: (405) 962-1400 :: Fax: (405) 962-1440 :: Complaints outside 405 area code: 1-800-381-4519
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