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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Saturday, April 27, 2024 6:58 PM CDT
Next Update: Sunday, April 28, 2024 2:50 AM CDT

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WAGONER, TERRIE LEE
Practice Address: PAM HEALTH SPECIALTY HOSPITAL
3219 S 79TH E AVE
TULSA OK 74145

Address last updated on 3/12/2024
Phone #: (918) 663-8183
Fax #:
County: TULSA
License: 310
Dated: 11/1/1995
Expires: 10/31/2024
License Type: Occupational Therapy Assistant
Specialty: Gerontology (OT/OA only)
Stroke Rehabilitation (OT/OA only)
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:
PAM HEALTH SPECIALTY HOSPITAL
3219 S 79TH E AVE
TULSA OK 74145

Phone #: (918) 663-8183
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
JASON CHRISTOPHER GREEN OT 1745

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