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Last Update: Saturday, May 4, 2024 6:58 PM CDT
Next Update: Sunday, May 5, 2024 2:50 AM CDT
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|
MOGG, TAYLOR SHAE |
| Practice Address: |
MERCY HOSPITAL
4300 W MEMORIAL RD
OKLAHOMA CITY OK 73120
Address last updated on 11/2/2023 |
| Phone #: |
(405) 752-3770 |
| Fax #: |
|
| County: |
OKLAHOMA |
| License: |
2270 |
| Dated: |
7/12/2021 |
| Expires: |
10/31/2024 |
|
Temp.
Ltr.
Issued:
|
1/13/2021 |
|
Temp.
Ltr.
Expires:
|
7/29/2021 |
| 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: |
|
AMY LOUISE GORMAN
|
OT |
1458 |
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