MITCHELL, COLTON DEAN - 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

MITCHELL, COLTON DEAN

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:	CONCENTRA MEDICAL 1500 W I-240 SERVICE RD STE A-14 OKLAHOMA CITY OK 73159 Address last updated on 10/31/2024
Phone #:	(405) 632-1002
Fax #:
County:	OKLAHOMA
License:	6011
Dated:	5/28/2021
Expires:	1/31/2025
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:
CONCENTRA MEDICAL 1500 W I-240 SERVICE RD STE A-14 OKLAHOMA CITY OK 73159 Phone #: (405) 632-1002 Fax #:

Name:	Type:	License Number:
Primary Supervisees(s):
CHERIE JEAN ANDERSON	TA	3612
CRISTIAN LEE HERNANDEZ	TA	3266
KEMI RENEE SOGUNRO	TA	3295

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