Utah
Division of Occupational and Professional Licensing
RICKIE M BASCOM
Physical Therapist - Physical Therapist
License number
333311-2401
Date granted
01/22/1997
Date expires
05/31/2015
Class
Physical Therapist - Physical Therapist
Status
Active
Address
HUNTSVILLE, UT 843179749
utahlicensing.org
ID 29916512
LAST UPDATED 2024-04-01 16:19:25 UTC
LAST UPDATED 2024-04-01 16:19:25 UTC
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