License holder summary

ADAM JAMES BLAKE is a Physical Therapy Licensure Board - Physical Therapist licensed to practice in Idaho. The address on file for ADAM JAMES BLAKE is IDAHO FALLS ID 83401. This licensed professional license is current. The license was granted 08/02/2016 and expired on 08/22/2017.

Idaho

Division of Occupational and Professional Licenses

ADAM JAMES BLAKE
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 4785
Date granted
08/02/2016
Date expires
08/22/2017
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Current
Address
IDAHO FALLS ID 83401
idaholicensing.com
ID 43730532
LAST UPDATED 2024-03-10 04:45:48 UTC

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