Idaho
Division of Occupational and Professional Licenses
ANDREA DE BRUYN KOPS
Physical Therapy Licensure Board - Physical Therapist Assistant
License number
PTA - 3923
Date granted
05/22/2015
Date expires
03/12/2017
Class
Physical Therapy Licensure Board - Physical Therapist Assistant
Status
Current
Address
IDAHO FALLS ID 83402
idaholicensing.com
ID 43733976
LAST UPDATED 2024-01-29 05:25:57 UTC
LAST UPDATED 2024-01-29 05:25:57 UTC
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