STORM, JANE YVONNE - Licensee Information

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Last Update: Friday, May 3, 2024 10:33 AM CDT
Next Update: Friday, May 3, 2024 12:00 PM CDT

STORM, JANE YVONNE

Practice Address:	CLINIC 1605 SO EUCALYPTUS AVE STE 200 BROKEN ARROW OK 74012 Address last updated on 10/30/2023
Phone #:	(918) 608-1212
Fax #:
County:	TULSA
License:	944
Dated:	11/2/2006
Expires:	10/31/2024
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:
CLINIC 1605 SO EUCALYPTUS AVE STE 200 BROKEN ARROW OK 74012 Phone #: (918) 608-1212 Fax #:

Name:	Type:	License Number:
Primary Supervisor(s):
EMILY LYNN AYALA	OT	5703
ANITA SEN	OT	1245

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Oklahoma State Board of Medical Licensure and Supervision :: 101 NE 51st St, Oklahoma City, OK 73105-1821
Main Number: (405) 962-1400 :: Fax: (405) 962-1440 :: Complaints outside 405 area code: 1-800-381-4519
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