Utah
Division of Occupational and Professional Licensing
NISSA RAE HANEGAN
Physical Therapist - Physical Therapist Assistant
License number
5415963-2402
Date granted
07/25/2012
Date expires
05/31/2015
Class
Physical Therapist - Physical Therapist Assistant
Status
Active
Address
PROVO, UT 84601
utahlicensing.org
ID 29917922
LAST UPDATED 2024-05-17 16:06:39 UTC
LAST UPDATED 2024-05-17 16:06:39 UTC
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