Idaho
Division of Occupational and Professional Licenses
COLLEEN MOOSMAN
Physical Therapy Licensure Board - Physical Therapist Assistant
License number
PTA - 2910
Date granted
07/19/2011
Date expires
11/04/2016
Class
Physical Therapy Licensure Board - Physical Therapist Assistant
Status
Current
Address
SALEM OR 97304
idaholicensing.com
ID 43734447
LAST UPDATED 2024-03-12 10:18:07 UTC
LAST UPDATED 2024-03-12 10:18:07 UTC
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