MARTIN, MIRANDA DOREN - Licensee Information

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Last Update: Thursday, May 2, 2024 4:48 AM CDT
Next Update: Thursday, May 2, 2024 12:00 PM CDT

MARTIN, MIRANDA DOREN

Practice Address:	SOUTHWESTERN MEDICAL CENTER 5602 SW LEE BLVD LAWTON OK 73505 Address last updated on 12/4/2023
Phone #:	(580) 531-4700
Fax #:
County:	COMANCHE
License:	2351
Dated:	9/9/2021
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:
SOUTHWESTERN MEDICAL CENTER 5602 SW LEE BLVD LAWTON OK 73505 Phone #: (580) 531-4700 Fax #:

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
DALLAS LEIGH CROTTY	OT	5595

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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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