LONG, MATTHEW DAVID - Licensee Information

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Last Update: Wednesday, April 24, 2024 3:08 PM CDT
Next Update: Thursday, April 25, 2024 2:50 AM CDT

LONG, MATTHEW DAVID

Practice Address:	PHYSICAL THERAPY SPECIALISTS 9165 S MINGO L TULSA OK 74133 Address last updated on 1/23/2024
Phone #:	(918) 615-6280
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:
PHYSICAL THERAPY SPECIALISTS 9165 S MINGO L TULSA OK 74133 Phone #: (918) 615-6280 Fax #:

Name:	Type:	License Number:
Primary Supervisor(s):
MICHELLE ANN JOHNSON	PT	4209
ANDREW DEAN NEGLEY	PT	3037

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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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