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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, April 18, 2024 6:52 PM CDT
Next Update: Friday, April 19, 2024 2:50 AM CDT

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BINGHAM, MICHELLE ANNE
Practice Address: EPWORTH VILLA SNF/EPWORTH AT HOME-SELECT REHAB
14901 N. PENN AVE
OKLAHOMA CITY OK 73134

Address last updated on 10/10/2023
Phone #: (405) 486-1355
Fax #:
County: OKLAHOMA
License: 1250
Dated: 5/17/2012
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:
Date Action Reasons Remarks
4/6/2022 Probation Ended
4/3/2017 Voluntary Submittal to Jurisdiction
11/9/2016 Suspension, License
Board Filings and/or Orders:
04/06/2017
11/09/2016
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Locations: Hours: Languages:
EPWORTH VILLA SNF/EPWORTH AT HOME-SELECT REHAB
14901 N. PENN AVE
OKLAHOMA CITY OK 73134

Phone #: (405) 486-1355
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
GWENDA MAUREEN SHARP OT 249
DEBRA ANNE SMITH OT 5805
LORI ANN SMITH OT 881

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