Idaho
Division of Occupational and Professional Licenses
BRADFORD J BROUILLETTE
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 2690
Date granted
05/18/2010
Date expires
05/06/2017
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Current
Address
MEAD WA 99021
idaholicensing.com
ID 43730615
LAST UPDATED 2026-03-14 01:57:55 UTC
LAST UPDATED 2026-03-14 01:57:55 UTC
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