INGRAM, TAYLOR - Licensee Information - Oklahoma Medical Board

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Last Update: Sunday, April 28, 2024 6:57 PM CDT
Next Update: Monday, April 29, 2024 2:50 AM CDT

INGRAM, TAYLOR

Practice Address:	CHILDRENS THERAPY ZONE 300 FAIRVIEW AVE PONCA CITY OK 74601 Address last updated on 12/19/2023
Phone #:	(580) 762-0121
Fax #:
County:	KAY
License:	2587
Dated:	11/6/2023
Expires:	10/31/2024
License Type:	Occupational Therapy Assistant
Specialty:

Status:	Active
Status Class:	Fully Licensed
Restricted to:
CME Year:	2026

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:
CHILDRENS THERAPY ZONE 300 FAIRVIEW AVE PONCA CITY OK 74601 Phone #: (580) 762-0121 Fax #:

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
KEALEY JORDAN OLIVER	OT	5225

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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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