Idaho
Division of Occupational and Professional Licenses
K C SANDSTROM
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 4751
Date granted
08/16/2016
Date expires
08/18/2017
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Current
Address
WEST VALLEY CITY UT 84120
idaholicensing.com
ID 43732925
LAST UPDATED 2024-04-20 22:09:17 UTC
LAST UPDATED 2024-04-20 22:09:17 UTC
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