Utah
Division of Occupational and Professional Licensing
MARY CELESTE LAKE
Physical Therapist - Physical Therapist
License number
7710015-2401
Date granted
07/07/2010
Date expires
05/31/2015
Class
Physical Therapist - Physical Therapist
Status
Active
Address
SOUTH WEBER, UT 844059679
utahlicensing.org
ID 29916004
LAST UPDATED 2026-03-29 09:09:41 UTC
LAST UPDATED 2026-03-29 09:09:41 UTC
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