Idaho
Division of Occupational and Professional Licenses
AMY NICOL WHITEHEAD
Physical Therapy Licensure Board - Physical Therapist Assistant
License number
PTA - 2562
Date granted
11/16/2009
Date expires
04/16/2017
Class
Physical Therapy Licensure Board - Physical Therapist Assistant
Status
Current
Address
IDAHO FALLS ID 83401
idaholicensing.com
ID 43734796
LAST UPDATED 2024-03-13 07:20:10 UTC
LAST UPDATED 2024-03-13 07:20:10 UTC
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