Idaho
Division of Occupational and Professional Licenses
MS. MANDY RAE SMITH
Physical Therapy Licensure Board - Physical Therapist Assistant
License number
PTA - 4580
Date granted
04/14/2016
Date expires
08/08/2017
Class
Physical Therapy Licensure Board - Physical Therapist Assistant
Status
Current
Address
POCATELLO ID 83201
idaholicensing.com
ID 43734648
LAST UPDATED 2024-03-31 10:24:25 UTC
LAST UPDATED 2024-03-31 10:24:25 UTC
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