FORTNER, BRADEN SCOTT - Licensee Information

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Last Update: Friday, May 3, 2024 4:08 PM CDT
Next Update: Saturday, May 4, 2024 2:50 AM CDT

FORTNER, BRADEN SCOTT

Practice Address:	ABSENTEE SHAWNEE TRIBE 2029 S GORDON COOPER DR SHAWNEE OK 74801 Address last updated on 1/12/2024
Phone #:	(405) 275-4030
Fax #:
County:	POTTAWATOMIE
License:	6363
Dated:	6/1/2023
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:
ABSENTEE SHAWNEE TRIBE 2029 S GORDON COOPER DR SHAWNEE OK 74801 Phone #: (405) 275-4030 Fax #:

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisees(s):
AMBER ROSE ATCHLEY	TA	2265

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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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