Utah
Division of Occupational and Professional Licensing
SHANE LOWELL KOPPENHAVER
Physical Therapist - Physical Therapist
License number
6396357-2401
Date granted
11/24/2006
Date expires
05/31/2015
Class
Physical Therapist - Physical Therapist
Status
Active
Address
SAN ANTONIO, TX 78209
utahlicensing.org
ID 29916742
LAST UPDATED 2024-03-14 20:07:40 UTC
LAST UPDATED 2024-03-14 20:07:40 UTC
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