WALTERS, MATTHEW BRANDON - Licensee Information

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

WALTERS, MATTHEW BRANDON

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:	OKC VA HCS 921 NE 13TH STREET OKLAHOMA CITY OK 73104 Address last updated on 7/25/2024
Phone #:	(405) 456-3905
Fax #:
County:	OKLAHOMA
License:	3560
Dated:	9/12/2002
Expires:	1/31/2025
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:
OKC VA HCS 921 NE 13TH STREET OKLAHOMA CITY OK 73104 Phone #: (405) 456-3905 Fax #:

Name:	Type:	License Number:
Primary Supervisees(s):
SHELLY ANN DAVIS	TA	1577
ROBERT DARIN FLORY	TA	3626
STACEY DAWN HILER	TA	2455
KRISTIE LEA HODGES	TA	2016
SHIRLEY MARIE MOODY	TA	510
JAMIE ANASTASIA SCHWARTZ	TA	871
DUSTIN SHANE SCHWARTZ	TA	882
DANYEL TANAKA	TA	3402
MICHELLE MARIE WALD	TA	1046

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