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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, September 20, 2024 6:56 PM CDT
Next Update: Saturday, September 21, 2024 2:50 AM CDT

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WHITAKER, TRACY JO       
Practice Address: LEGACY HEALTHCARE SERVICE-GARDENS AT QUAIL SPRINGS
14300 PORTLAND AVE
OKLAHOMA CITY OK 73134

Address last updated on 9/4/2024
Phone #: (405) 948-2813
Fax #:
County: OKLAHOMA
License: 332
Dated: 3/5/1996
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:
LEGACY HEALTHCARE SERVICE-GARDENS AT QUAIL SPRINGS
14300 PORTLAND AVE
OKLAHOMA CITY OK 73134

Phone #: (405) 948-2813
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
GOPAKUMAR B. DAMAYANTHY OT 1257
ASHTON JEWEL HOERMAN OT 5765

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