Idaho
Division of Occupational and Professional Licenses
KATHRYN L WALLENTINE
Physical Therapy Licensure Board - Physical Therapist Assistant
License number
PTA - 2882
Date granted
06/22/2011
Date expires
11/18/2016
Class
Physical Therapy Licensure Board - Physical Therapist Assistant
Status
Current
Address
MERIDIAN ID 83642
idaholicensing.com
ID 43734777
LAST UPDATED 2024-03-20 11:00:40 UTC
LAST UPDATED 2024-03-20 11:00:40 UTC
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