Idaho
Division of Occupational and Professional Licenses
BECKY K WISE
Physical Therapy Licensure Board - Physical Therapist Assistant
License number
PTA - 4373
Date granted
01/21/2016
Date expires
05/03/2017
Class
Physical Therapy Licensure Board - Physical Therapist Assistant
Status
Current
Address
SUGAR CITY ID 83448
idaholicensing.com
ID 43734816
LAST UPDATED 2026-05-24 20:02:18 UTC
LAST UPDATED 2026-05-24 20:02:18 UTC
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