Idaho
Division of Occupational and Professional Licenses
DIANE ELIZABETH GOODMAN
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 1736
Date granted
09/23/2002
Date expires
06/17/2017
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Current
Address
Boise ID 83709
idaholicensing.com
ID 43731344
LAST UPDATED 2026-04-07 11:36:14 UTC
LAST UPDATED 2026-04-07 11:36:14 UTC
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