Utah
Division of Occupational and Professional Licensing
MONT B DIDERICKSEN
Physical Therapist - Physical Therapist
License number
309581-2401
Date granted
09/07/1995
Date expires
05/31/2015
Class
Physical Therapist - Physical Therapist
Status
Active
Address
SMITHFIELD, UT 843350262
utahlicensing.org
ID 29916216
LAST UPDATED 2024-03-12 07:11:02 UTC
LAST UPDATED 2024-03-12 07:11:02 UTC
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