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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, May 3, 2024 2:28 PM CDT
Next Update: Friday, May 3, 2024 4:30 PM CDT

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COOPER, SHELBY LEIGH
Practice Address: CORNERSTONE BEHAVIORAL HEALTH AND PEDIATRIC THERAP
1900 E 15TH ST
BLDG. 800B
EDMOND OK 73013

Address last updated on 10/26/2023
Phone #: (405) 455-6868 x2
Fax #:
County: OKLAHOMA
License: 2197
Dated: 11/1/2020
Expires: 10/31/2024
Temp. Ltr. Issued: 8/11/2020
Temp. Ltr. Expires: 11/5/2020
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:
CORNERSTONE BEHAVIORAL HEALTH AND PEDIATRIC THERAP
1900 E 15TH ST
BLDG. 800B
EDMOND OK 73013

Phone #: (405) 455-6868 x2
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
ANNA ELIZABETH BRYAN FOGLE OT 1894

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