MATVEYEVA, TETYANA - Licensee Information

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MATVEYEVA, TETYANA

Practice Address:	JIM THORPE REHAB COMANCHE COUNTY MEM HOSP 3201 W. GORE BLVD LAWTON OK 73505 Address last updated on 4/24/2019
Phone #:	(580) 250-5385
Fax #:
County:	COMANCHE
License:	3140
Dated:	5/9/2019
Expires:	1/31/2020
Temp. Ltr. Issued:	5/3/2019
Temp. Ltr. Expires:	5/9/2019
License Type:	Physical Therapist Assistant
Specialty:

Status:	Inactive
Status Class:	Expired License
Restricted to:
CME Year:	2022

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:
JIM THORPE REHAB COMANCHE COUNTY MEM HOSP 3201 W. GORE BLVD LAWTON OK 73505 Phone #: (580) 250-5385 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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