Idaho
Division of Occupational and Professional Licenses
DERRICK STEVEN NORTHRUP
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 1280
Date granted
04/07/1998
Date expires
04/13/2017
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Current
Address
Pocatello ID 83202
idaholicensing.com
ID 43732505
LAST UPDATED 2024-02-22 12:07:23 UTC
LAST UPDATED 2024-02-22 12:07:23 UTC
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