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Last Update: Thursday, April 25, 2024 10:24 AM CDT
Next Update: Thursday, April 25, 2024 12:00 PM CDT
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PETTIJOHN, SHAMBRA LEANN |
| Practice Address: |
MINCO SCHOOLS AND AMBER POCASSET SCHOOLS
MINCO OK 73059
Address last updated on 10/23/2023 |
| Phone #: |
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| Fax #: |
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| County: |
GRADY |
| License: |
992 |
| Dated: |
11/1/2007 |
| Expires: |
10/31/2024 |
|
Temp.
Ltr.
Issued:
|
10/18/2007 |
|
Temp.
Ltr.
Expires:
|
11/3/2007 |
| License Type: |
Occupational Therapy Assistant |
| Specialty: |
School Based Practice (OT/OA only)
Sensory Integration (OT/OA only)
Attention Deficit Hyperactivity Disorder (OT/OA on
Handwriting (OT/OA only) |
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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: |
|
JULIE BETH MOORE
|
OT |
947 |
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