Idaho
Division of Occupational and Professional Licenses
ANDREA LEE LADOUCEUR
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 1984
Date granted
06/14/2005
Date expires
06/18/2017
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Current
Address
BOISE ID 83709
idaholicensing.com
ID 43731980
LAST UPDATED 2026-04-21 05:43:13 UTC
LAST UPDATED 2026-04-21 05:43:13 UTC
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