License holder summary

SUSANNA P VAN DER WALT is a Physical Therapist - Physical Therapist licensed to practice in Utah. The address on file for SUSANNA P VAN DER WALT is DRAPER, UT 840209186. This licensed professional license is current. The license was granted 01/18/2005 and expired on 05/31/2015.

Utah

Division of Occupational and Professional Licensing

SUSANNA P VAN DER WALT
Physical Therapist - Physical Therapist
License number
5812798-2401
Date granted
01/18/2005
Date expires
05/31/2015
Class
Physical Therapist - Physical Therapist
Status
Active
Address
DRAPER, UT 840209186
utahlicensing.org
ID 29916951
LAST UPDATED 2026-05-04 09:51:47 UTC

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