GRAY, MATTHEW DEE - 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

GRAY, MATTHEW DEE

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:	VIDA THERAPY AND REHABILITATION 15811 S 297TH E AVE COWETA OK 74429 Address last updated on 1/3/2024
Phone #:	(918) 230-3165
Fax #:
County:	WAGONER
License:	4731
Dated:	8/2/2013
Expires:	1/31/2025
Temp. Ltr. Issued:	5/24/2013
Temp. Ltr. Expires:	9/13/2013
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:
VIDA THERAPY AND REHABILITATION 15811 S 297TH E AVE COWETA OK 74429 Phone #: (918) 230-3165 Fax #:

Name:	Type:	License Number:
Primary Supervisees(s):
LINDSEY DANIELLE HORTON	TA	1821
BETHANY TEEL MOORE	TA	2006
WHITNEY AMBER PERKEY	TA	1085
RANDY WADE TAYLOR	TA	2142
LISA JEAN VAUGHN	TA	1614
BRITNEY RAE WASSOM	TA	1268

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