NEUFELD, MATTHEW WILLIAM - 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

NEUFELD, MATTHEW WILLIAM

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:	360 PHYSICAL THERAPY 10861 E BASELINE RD SUITE A-105 MESA AZ 85209 Address last updated on 2/4/2021
Phone #:	(480) 821-1997 x229
Fax #:
County:	NOT OKLAHOMA
License:	5779
Dated:	1/13/2020
Expires:	1/31/2022
License Type:	Physical Therapist
Specialty:

Status:	Inactive
Status Class:	Expired License
Restricted to:
CME Year:	2022

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:
360 PHYSICAL THERAPY 10861 E BASELINE RD SUITE A-105 MESA AZ 85209 Phone #: (480) 821-1997 x229 Fax #:

Name:	Type:	License Number:
Primary Supervisees(s):
MICHAEL WAYNE BLOMSTROM	TA	691
ALEXANDRIA GALE GOODRICH	TA	2917

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