Idaho
Division of Occupational and Professional Licenses
BLANE PETERSEN
Physical Therapy Licensure Board - Physical Therapist Assistant
License number
PTA - 233
Date granted
04/24/2000
Date expires
09/22/2016
Class
Physical Therapy Licensure Board - Physical Therapist Assistant
Status
Current
Address
Post Falls ID 83854
idaholicensing.com
ID 43734529
LAST UPDATED 2024-02-29 22:24:49 UTC
LAST UPDATED 2024-02-29 22:24:49 UTC
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