Idaho
Division of Occupational and Professional Licenses
JUDITH LEE GRUCELLA
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 1173
Date granted
04/07/1997
Date expires
09/14/2016
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Current
Address
BEND OR 97701
idaholicensing.com
ID 43731386
LAST UPDATED 2024-02-16 17:01:51 UTC
LAST UPDATED 2024-02-16 17:01:51 UTC
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