KOTTMEYER, BENJAMIN MARK - Licensee Information

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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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Oklahoma State Board of Medical Licensure and Supervision :: 101 NE 51st St, Oklahoma City, OK 73105-1821
Main Number: (405) 962-1400 :: Fax: (405) 962-1440 :: Complaints outside 405 area code: 1-800-381-4519
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