Idaho
Division of Occupational and Professional Licenses
MR. TODD DANIAL WILDE
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 4481
Date granted
05/26/2016
Date expires
02/09/2018
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Current
Address
THOUSAND OAKS CA 91360
idaholicensing.com
ID 43733592
LAST UPDATED 2024-05-06 07:14:58 UTC
LAST UPDATED 2024-05-06 07:14:58 UTC
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