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Oklahoma Board of Medical Licensure and Supervision

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

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BALDWIN, MATTHEW DALLIN       
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: SELECT PHYSICAL THERAPY - MUSTANG
1233 E STATE HWY 152
SUITE 107
MUSTANG OK 73064
Address last updated on 12/17/2024
Phone #: (405) 674-0101
Fax #: (405) 674-0102
County: CANADIAN
License: 5331
Dated: 6/2/2017
Expires: 1/31/2026
Temp. Ltr. Issued: 7/6/2021
Temp. Ltr. Expires: 9/16/2021
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:
SELECT PHYSICAL THERAPY - MUSTANG
1233 E STATE HWY 152
SUITE 107
MUSTANG OK 73064
Phone #: (405) 674-0101
Fax #: (405) 674-0102
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
ANN MARIE ARTHUR TA 866
LAURA ELIZABETH BARNEY TA 3599
SHELBY NOELLE BODINE TA 3513
CARYN CARMELA BROOKS TA 1326
LOGAN BUSH TA 3857
CARISSA LEE CHURCHILL TA 3369
JORDAN MICHELLE GLASGOW TA 2923
ISAAC GEORGE HARJO TA 3331
TIFFANY GAYLE HARMON TA 2789
DENISE LYNN JAMES TA 603
NAOMI L JONES TA 1746
DYLAN LEE JONES TA 3747
ROBERT ANTHONY KOPECKY TA 3375
SANDI NATTHAKARN ATTAMAKULSRI KOSITCHAIWAT TA 3733
TONI MORSE TA 3227
MELISSA KAY REEVES TA 1654
CATHERINE BRIANNE SCHANTZ TA 3133
JASON MATTHEW SEWELL TA 1102
MICHELLE LYNN SIGLER TA 308
KELSEY ANN THURMAN TA 3580

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