Idaho
Division of Occupational and Professional Licenses
G. KENYON EXETER
Physical Therapy Licensure Board - Physical Therapist Assistant
License number
PTA - 051
Date granted
04/03/1995
Date expires
12/19/2016
Class
Physical Therapy Licensure Board - Physical Therapist Assistant
Status
Current
Address
EPHRATA WA 98823-1769
idaholicensing.com
ID 43734031
LAST UPDATED 2024-04-09 22:45:45 UTC
LAST UPDATED 2024-04-09 22:45:45 UTC
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