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KOTTMEYER, BENJAMIN MARK       
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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