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Last Update: Monday, May 6, 2024 2:12 PM CDT
Next Update: Monday, May 6, 2024 4:30 PM CDT
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|
CARRASCO, LISA MARIE |
| Practice Address: |
M AND L REHAB
18491 N. JAMESTOWN AVE.
SKIATOOK OK 74070
Address last updated on 9/27/2023 |
| Phone #: |
(918) 766-2383 |
| Fax #: |
|
| County: |
TULSA |
| License: |
865 |
| Dated: |
1/27/2005 |
| Expires: |
10/31/2024 |
|
Temp.
Ltr.
Issued:
|
11/12/2004 |
|
Temp.
Ltr.
Expires:
|
3/12/2005 |
| License Type: |
Occupational Therapy Assistant |
| Specialty: |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
|
| CME Year: |
2024 |
|
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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Primary Supervisor(s):
|
| Name: |
Type: |
License Number: |
Full/Part Time: |
|
KELLI DAWN KELLEY
|
OT |
344 |
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