Idaho
Division of Occupational and Professional Licenses
AMBER DIANE FREDRICKSON
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 4721
Date granted
05/18/2016
Date expires
02/27/2018
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Current
Address
JAMESTOWN ND 58401
idaholicensing.com
ID 43731229
LAST UPDATED 2026-04-01 23:04:24 UTC
LAST UPDATED 2026-04-01 23:04:24 UTC
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