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
LAST UPDATED 2026-05-04 09:51:47 UTC
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