Utah
Division of Occupational and Professional Licensing
PETRA PIRC
Physical Therapist - Physical Therapist
License number
324949-2401
Date granted
07/30/1998
Date expires
05/31/2005
Class
Physical Therapist - Physical Therapist
Status
Expired
Address
JEMEZ SPRINGS, NM 87025
utahlicensing.org
ID 29916395
LAST UPDATED 2026-04-17 16:59:56 UTC
LAST UPDATED 2026-04-17 16:59:56 UTC
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