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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Tuesday, May 7, 2024 2:28 PM CDT
Next Update: Tuesday, May 7, 2024 4:30 PM CDT

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PHILLIPS, MADISON TAYLOR
Practice Address: VOYAGE LTC INC
7919 MID AMERICA BLVD #200
OKLAHOMA CITY OK 73135

Address last updated on 10/29/2023
Phone #: (405) 736-0064
Fax #:
County: OKLAHOMA
License: 2189
Dated: 4/24/2020
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:
VOYAGE LTC INC
7919 MID AMERICA BLVD #200
OKLAHOMA CITY OK 73135

Phone #: (405) 736-0064
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
GOPAKUMAR B. DAMAYANTHY OT 1257
DANA L. MARTIN OT 883

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