KOTTMEYER, BENJAMIN MARK - Licensee Information

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
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KOTTMEYER, BENJAMIN MARK

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:	MIDWEST REGIONAL MEDICAL CENTER MIDWEST REHAB MED 1201 S DOUGLAS BLVD MIDWEST CITY OK 73130-5239 Address last updated on 7/3/2015
Phone #:	(405) 610-8090
Fax #:
County:	OKLAHOMA
License:	4906
Dated:	9/4/2014
Expires:	1/31/2015
Temp. Ltr. Issued:	8/15/2014
Temp. Ltr. Expires:	9/19/2014
License Type:	Physical Therapist
Specialty:

Status:	Inactive
Status Class:	Expired License
Restricted to:
CME Year:	2016

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:
MIDWEST REGIONAL MEDICAL CENTER MIDWEST REHAB MED 1201 S DOUGLAS BLVD MIDWEST CITY OK 73130-5239 Phone #: (405) 610-8090 Fax #:

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