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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 25, 2024 3:48 AM CST
Next Update: Wednesday, December 25, 2024 12:00 PM CST

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HOSTETTER, BRIAN LEE       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: BRIAN HOSTETTER PHYSICAL THERAPY
6709 NW 12TH STREET
OKLAHOMA CITY OK 73127

Address last updated on 12/3/2023
Phone #: (405) 818-2545
Fax #:
County: OKLAHOMA
License: 2784
Dated: 7/31/1998
Expires: 1/31/2025
Temp. Ltr. Issued: 6/11/1998
Temp. Ltr. Expires: 9/30/1998
License Type: Physical Therapist
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:
BRIAN HOSTETTER PHYSICAL THERAPY
6709 NW 12TH STREET
OKLAHOMA CITY OK 73127

Phone #: (405) 818-2545
Fax #:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
CHARLES TIMOTHY BOSTICK TA 2618
CARLA SUE GLIDWELL TA 121
ELISABETH MCKENZIE TA 3408
MITZI JILL MULFORD TA 758
VALARIE JEAN PARKER TA 1418
EMILY MARIE PLATNER TA 3525
STEPHANIE DAWN WAINSCOTT TA 3826

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