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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Sunday, May 5, 2024 6:58 PM CDT
Next Update: Monday, May 6, 2024 2:50 AM CDT

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TILLIS, KYLA LYNN
Practice Address: MONTEVISTA SKILLED NURSING AND REHABILITATION
7604 QUANAH PARKER TRAILWAY
LAWTON OK 73505

Address last updated on 10/25/2023
Phone #: (580) 250-2337
Fax #:
County: COMANCHE
License: 2018
Dated: 7/26/2018
Expires: 10/31/2024
Temp. Ltr. Issued: 5/29/2018
Temp. Ltr. Expires: 7/26/2018
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:
MONTEVISTA SKILLED NURSING AND REHABILITATION
7604 QUANAH PARKER TRAILWAY
LAWTON OK 73505

Phone #: (580) 250-2337
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
TATUM LEE EARLY OT 5828
PRUDENCE GENSMAN OT 2084

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