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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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LONG, MATTHEW DAVID       
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: FYZICAL THERAPY & BALANCE CENTERS
9540 N GARNETT ROAD
STE 10
OWASSO OK 74055

Address last updated on 12/3/2024
Phone #: (918) 609-1300
Fax #:
County: TULSA
License: 2932
Dated: 8/10/2018
Expires: 1/31/2025
License Type: Physical Therapist Assistant
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:
FYZICAL THERAPY & BALANCE CENTERS
9540 N GARNETT ROAD
STE 10
OWASSO OK 74055

Phone #: (918) 609-1300
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
TRAVIS SCOTT MCGILL PT 5041
ZACHARY BLAKE SHARP PT 6351

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