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Oklahoma Board of Medical Licensure and Supervision

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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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MILLWARD, NICOLE MARIE
Practice Address: SWEET HOME THERAPY, LLC
2603 OLD 98 ROAD
VALLIANT OK 74764

Address last updated on 2/28/2024
Phone #: (580) 212-5627
Fax #:
County: MCCURTAIN
License: 2615
Dated: 4/24/2024
Expires: 10/31/2024
Temp. Ltr. Issued: 3/1/2024
Temp. Ltr. Expires: 5/16/2024
License Type: Occupational Therapy Assistant
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
CME Year: 2026
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:
SWEET HOME THERAPY, LLC
2603 OLD 98 ROAD
VALLIANT OK 74764

Phone #: (580) 212-5627
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
LYDIA FORREST CANTRELL OT 5381

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