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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Sunday, May 5, 2024 6:58 PM CDT
Next Update: Monday, May 6, 2024 2:50 AM CDT

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DAVIS, MIRANDA SUE
Practice Address: NEO ORTHOPEDICS AND REHABILITATION
2225 N MAIN ST
MIAMI OK 74354

Address last updated on 2/16/2024
Phone #: (918) 542-4101
Fax #:
County: OTTAWA
License: 2190
Dated: 4/24/2020
Expires: 10/31/2024
Temp. Ltr. Issued: 3/4/2020
Temp. Ltr. Expires: 5/7/2020
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:
NEO ORTHOPEDICS AND REHABILITATION
2225 N MAIN ST
MIAMI OK 74354

Phone #: (918) 542-4101
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
NATHANIEL BRANT RADCLIFF OT 5391

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