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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, April 26, 2024 4:03 AM CDT
Next Update: Friday, April 26, 2024 12:00 PM CDT

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KIRBY, TARA AMBER
Practice Address: BALANCED THERAPY
941 LAKE VISTA RD
EDMOND OK 73034

Address last updated on 1/10/2024
Phone #: (405) 821-0057
Fax #:
County: OKLAHOMA
License: 341
Dated: 3/22/1996
Expires: 10/31/2024
License Type: Occupational Therapy Assistant
Specialty: Pediatrics (OT/OA only)
Activities of Daily Living (OT/OA only)
Dementia (OT/OA only)
Learning through Play (OT/OA only)
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:
BALANCED THERAPY
941 LAKE VISTA RD
EDMOND OK 73034

Phone #: (405) 821-0057
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
KELLY SHANNON BRUNSTETER OT 466

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