Idaho
Division of Occupational and Professional Licenses
AMY LEIGH BERGSTROM
Physical Therapy Licensure Board - Physical Therapist Assistant
License number
PTA - 2594
Date granted
11/02/2009
Date expires
04/15/2017
Class
Physical Therapy Licensure Board - Physical Therapist Assistant
Status
Current
Address
REXBURG ID 83440
idaholicensing.com
ID 43733806
LAST UPDATED 2024-03-20 16:39:09 UTC
LAST UPDATED 2024-03-20 16:39:09 UTC
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