Idaho
Division of Occupational and Professional Licenses
BENJAMIN THOMAS FEDEWA
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 3643
Date granted
04/22/2014
Date expires
03/26/2016
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Not Current
Address
BOTHELL WA 98012
idaholicensing.com
ID 43731172
LAST UPDATED 2024-05-01 02:34:34 UTC
LAST UPDATED 2024-05-01 02:34:34 UTC
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