MILLER, SHANTEL LAREA - Licensee Information

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Last Update: Monday, May 20, 2024 7:03 PM CDT
Next Update: Tuesday, May 21, 2024 2:50 AM CDT

MILLER, SHANTEL LAREA

Practice Address:	STEIN ANCILLARY SERVICES LLC 8520 S 36TH TERR FORT SMITH AR 72908 Address last updated on 9/1/2023
Phone #:	(866) 410-1740
Fax #:
County:	NOT OKLAHOMA
License:	2141
Dated:	1/24/2020
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:
STEIN ANCILLARY SERVICES LLC 8520 S 36TH TERR FORT SMITH AR 72908 Phone #: (866) 410-1740 Fax #:

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
AMY LOUISE GARMAN	OT	5750

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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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